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ACTIONNAIRE
ADJOVAN.COM
Veuillez svp compléter ce formulaire nécessaire à l'achat d'actions dans
ADJOVAN.COM
. Merci de votre intérêt.
Please complete this form necessary for the purchase of shares in ADJOVAN.COM.
Thanks for your interest.
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* Indicates required question
Nom / Name
*
Your answer
Fonction / Job
*
Your answer
Niveau d'investissement potentiel /
Potential investment level
(M=Millions FCFA)
*
0 - 1M FCFA
1M FCFA - 3M FCFA
3M FCFA - 5M FCFA
5M FCFA - 10M FCFA
10M FCFA - 30M FCFA
30M FCFA - 50M FCFA
Plus de 50M FCFA
Email
*
Your answer
Téléphone mobile (avec indicatif du pays)
*
Your answer
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