Form Special Offer – EN

ENGLISH – Please leave the setting of the automatic translator on “English” so that the text is displayed correctly.

You can use this form to tell us which of the options offered you would like to use to rebuy EVO points.

You can combine several options. Please only enter whole numbers. The total value of the entries must not exceed your EVO-Point balance.

If you enter less than 1’000 EVO-Points in one of the options, you will have to pay an administration fee of 75 Euro for each option that has less than 1’000 EVO-Points. The fee can be selected and paid in the back office with the EBL packages.

You can use this form to inform us of your decision until 5th of December 2019. An extension is not possible for technical reasons.

Please fill out this form and click on “Submit”.

Your evobusy team

Name *

First

Last

Date of birth//

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

Phone

User ID / Username *

I had the following products *

AlpCoin Cash
GXB tokens
Masternode with server from Mobilla Technology Limited
GCBIB account

Beteiligung an Massenklage *

and I irrevocably participate in the class action against Salvatore Castagna, Marianna Luisi directly o indirectly against their companies. The mass action will prove to be necessary after our already filed criminal action, only if necessary. This will be decided by the lawyers after the process. A cost sharing would not exceed € 100 in any case. I would like to convert my Evopoints as follows:

A1 - EVO-Points, payout on 5th of January 2021 for € 0.10 per EVO-Point

A2 - EVO-Points, payout on 5th of January 2022 for € 0.25 per EVO-Point

A3 - EVO-Points, payout on 5th of January 2023 for € 0.50 per EVO-Point

A4 - EVO-Points, payout on 5th of January 2024 for € 1.00 per EVO-Point

B1 - Euro Investment 1 year with 6% interest p.a. - Deposit 50% with EVO-Points, rest paid in euros

B2 - Euro Investment 2 years with 6% interest p.a. - Deposit 60% with EVO-Points, rest paid in euros

B3 - Euro Investment 3 years with 6% interest p.a. - Deposit 70% with EVO-Points, rest paid in euros

B4 - Euro Investment 4 years with 6% interest p.a. - Deposit 80% with EVO-Points, rest paid in euros

B5 - Euro Investment 5 years with 6% interest p.a. - Deposit 90% with EVO-Points, rest paid in euros

Prüfung der Angaben

Signature *

Please sign your choices here with your mouse or finger (for touchscreens)

Please confirm: *

Hereby I confirm that all information has been filled out correctly and with this order, all AlpCoin Cash and EVO-Points can be converted and therefore no further claims against AlpCoin or Evobusy exist and I comply with the guidelines and terms and conditions of Evobusy.

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Name