INVESTOR REGISTRATION FORM: Beer & Young Contact Shon Laird Your Name* Date Of Birth* Residential Address* Country Of Residence* Nationality* Existing Directorships† Number Of Former Directorships† □ □ 5 - 10 □ > 10 Number Of Unquoted Investments† □ □ 5 - 10 □ > 10 Professional Qualifications† Principal Telephone Fax Mobile Telephone ^ Email Address I wish to be treated as a professional client (see overleaf) □ * This information will be used to verify your identity for the purposes of financial crime prevention.†This information will be used to assess your knowledge and experience in relation to unquoted investments.^ INDUSTRY SECTORS OF PARTICULAR INTEREST Please indicate which sectors interest you by ticking the relevant box(es). We will assume that you do not want to receive any information on other sectors. Advertising Agriculture Arts Automotive Bioscience Business Services Construction Distribution Education Electronics Engineering Environmental & Energy Financial Services FMCG Food Processing Hospitality Information Technology Internet Leisure Manufacturing Materials Medical New Media Packaging Pharmaceuticals Printing Property Publishing Retail Software Telecommunications Textiles Anyothersectorsnotmentionedpleasespecify: ^ PREFERRED LOCATION Please indicate, by ticking the relevant box(es), which locations are of interest London South East Central South East Midlands East Anglia Home Counties South Wales South West West Midlands North West North East & Yorkshire North Wales Scotland Northern Ireland Outside UK INVOLVEMENT Clients sometimes need active help in the business and a copy of your CV/background would be helpful, if we do not already have it. Please indicate your availability by ticking as appropriate. Full Time Part time – more than 5 days per month Minimal (Non Exec) Part time – less than 5 days per month^ SKILL AREAS Please indicate which skills you have available General Management Sales/Marketing Administration/HR Finance Strategy Production Others – please specify: ^ TYPE OF INVESTMENT OPPORTUNITY Please indicate which of these categories interests you. Seed (pre-trading) Early Stage (pre-profit) Expansion (has trading history) Buyout Pre-IPO Recovery Will Syndicate FUNDS AVAILABLE Minimum per investment £................……..Maximum per investment £..........................Total funds available £.......................... (Continued overleaf)^ IMPORTANT INFORMATION FOR INVESTORS The following terms and conditions set out the basis of our relationship with you as a potential investor. We reserve the right to cease communicating with you at any time at our absolute discretion and we reserve the right to vary these terms and conditions.^ YOUR INFORMATIONYour information (including information we already hold and may receive now and in the future) may be held by us or transferred in accordance with our registration under the Data Protection Act. A copy of our registration is available from the Office of the Data Commissioner or from our head office at the address below. If you do not wish your information to be used for these purposes, you should write to us at the address below. With limited exceptions, you have the right to access and, if necessary, rectify the information that we hold about you.Investment opportunities communicated to you by Beer & Partners are filtered according to the criteria which you have given to us on registration and in subsequent discussions. This filtering must not be taken to imply advice that any opportunity will suit your investment requirements. If you require investment advice then please contact a suitable professional adviser. This is not a service offered by Beer & Partners.Beer & Partners will communicate with you by telephone, fax, e-mail, in writing, and in person and you should expect to receive unsolicited calls in relation to Beer & Partners from time to time. All communications with and from Beer & Partners will be in English.^ REGULATORY INFORMATIONBeer & Partners is authorised and regulated by the Financial Services Authority who can be contacted at 25 The North Colonnade, Canary Wharf, London, E14 5HS or via www.fsa.gov.uk. Beer & Partners treats all investors as retail clients being recipients of Beer & Partners’ financial promotions except those who are authorised firms, regulated by the Financial Services Authority, who will be treated as professional clients. Retail clients are afforded the maximum level of protection available. Retail clients have the right to request to be treated as ‘elective professional clients’ which offers less protection. Such treatment will be subject to qualitative tests applied by Beer & Partners, details of which are available on request. Professional clients have the right to be treated as retail clients on request.Investment in unquoted businesses carries high risks as well as the possibility of high rewards and an investor’s capital is at risk in making such investments. It is highly speculative and potential investors should be aware that no established market exists for the trading of shares in private companies. Please note that any tax treatments referred to in financial promotions approved or issued by Beer & Partners will depend on the individual circumstances of the investor. Investors should be aware that other costs and taxes may arise for them in relation to making investments. All of Beer & Partners’ fees are payable by the client companies to whom it provides services.You may have the right to protection under the Financial Services Compensation Scheme and the right to refer complaints to the Financial Ombudsman Service; this depends on the type of business and the circumstances of the claim or complaint. Where a particular investment contains an overseas element, these protections may not be available. Further information about applicable compensation and protection is available from the FSCS and FOS. All information given to you by Beer & Partners is confidential and must not be passed to others without first seeking the approval of Beer & Partners. It may not be used for any purpose other than to consider whether you should enter into discussions with the business described.^ OUR RESPONSIBLITIES TO YOU We will act with reasonable skill and care in our dealings with you. Subject to the duties of confidentiality we owe to our clients, we will use our reasonable endeavours to bring to your attention any matter of which we become aware that we believe might materially affect any investment decision. Unless we have been negligent, we and our Associates cannot and do not accept responsibility or liability for any loss of whatever nature, in connection with any investment proposal introduced to you by us.Conflicts of interest are dealt with by the implementation of appropriate Chinese Walls, oversight by senior management, and the observation of a comprehensive conflict of interest procedure, details of which are available on request. If you wish to register a complaint regarding Beer & Partners, please write to the Complaints Officer at the address below. A full copy of Beer & Partners’ complaint handling procedure is available on request to anyone who has dealings with the firm. If you cannot settle your complaint with us, you may be entitled to refer it to the Financial Ombudsman Service.^ YOUR RESPONSIBILITIES TO US You warrant that the information you have given to us is complete and accurate in all material respects and further you undertake to keep us informed of any material changes to your contact details and/or financial position and/or investment requirements. Beer & Partners can be contacted at Painters’ Hall, 9 Little Trinity Lane, London, EC4V 2ADPlease sign below to confirm that you have read, understood and will abide by these terms. SIGNED DATE NAME For and on behalf of (if applicable) Please complete and return this form along with a copy of an official photographic ID (passport, driving licence, national ID card or Services ID card to the address as detailed below: