Amigo Shareholders Action Group
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Name *
City *
County *
Mobile Number *
Email Address *
How many shares do you currently hold in Amigo Holdings PLC? *
Are you willing to contribute towards an equity raise by May 2023? *

How much money can you contribute to the equity raise in total, including any option to oversubscribe?

*

How much money are you willing to put towards a legal fund for shareholders?

*
Are you happy to provide a proxy to ASAG / Lawyers? *
ASAG represents a large number of shareholders, are you happy for us to include your holding to the numbers we declare? *
Required
Do you agree to keep the information shared by ASAG private and confidential? *
Required
Do you agree with the ASAG GDPR policy *
Required
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