SPARKIDz

Shares Application Form

SPARKIDz aims to help children with special needs by collecting paintings they
draw and making something creative out of them. People will have the opportunity
to buy our products and contribute on our attempt to provide them a brighter
future.

You must be over the age of 16 to apply for shares.
Shares are being sold for €10 each and each person has the right to apply for one to five in
total.

I wish to purchase shares at €10 each to a total value of:

€

Name:

Surname:

Telephone: (optional)

Email:

I wish to pay with cash

I enclose a cheque made payable to SPARKIDz Junior Achievement

Signature:

Date: