Incredimail 2010 Annual Report Download - page 189
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IN WITNESS WHEREOF the undersigned, by authority duly given, has caused this Notice and Questionnaire to be executed and delivered
either in person or by its duly authorized agent.
PLEASE FAX A COPY OF THE COMPLETED AND EXECUTED NOTICE AND QUESTIONNAIRE, AND RETURN THE
ORIGINAL BY OVERNIGHT MAIL, TO:
Yigal Arnon & Co.
1 Azrieli Center
46
th
Floor (Round Tower)
Tel Aviv, Israel 67021
Facsimile: (9723) 608-7714
Attn.: David H. Schapiro, Esq.
22
Dated: ___________________________
Beneficial Owner: _____________________
By: ________________________________
Name:
Title: