Living Planet Fund

This form is for you to complete, print, sign and mail to your bank:

*denotes mandatory fields

To:

*Address:

From:

Name:

*Address:

*Email:

Buy

Please note the following order, to buy for my/our account:

Name of Investment Fund:

Living Planet Fund - Equity

(Please tick below, the box as appropriate)

Class A units (ISIN Code LU0169371266) (Telekurs: 1611752 LPFUND EQUITY A)

Class B units (ISIN Code LU0169371779) (Telekurs: 1611753 LPFUND EQUITY B)

(Please note that the minimum for class A is 500 Euro and that the minimum for class B is 500,000 Euro)

Amount of Investment:

or
Number of Units

Debit to my bank account no.:

Value Date:

As soon as possible, upon receipt of this letter

(Please tick below, the box as appropriate)

Deposit the investment fund units purchased to my security deposit account no.:

I have no security deposit account, please contact me at the following:

*Telephone Number :