In two steps to mandate assignation

1. Please print documents and fill in documents Please download and print mandate and fee agreement in PDF-format. In case documents cannot be opened please install the Adobe Acrobat-Reader. Mandate       Fee agreement

Please fill in printed mandate und fee agreement and return the original, but not by telefax in advance to
NIEDING + BARTH Rechtsanwaltsaktiengesellschaft if your surname starts with a letter A-L
and to TILP Rechtsanwälte if your surname starts with a letter M-Z.

2. Filling in the online-form
Please fill in the following online-form as precisely as possible and return it by clicking "send form". After receipt of your documents and payment of the agreed fee, you will receive your password for the secured client area.

Sal. address		Title
First name		Surname
Company		Street
CIP		City
State		Telephone
Email		Telefax
Defense Insurance (DI) No. of insurance cert. Entry of DI DI terminated? When? DI-Cover note received? yes   no  Agent/Investment Consultant Date of subscription of bonus share Total amount of investment Please describe your subscribed bonus shares precisely according to following criteria Emittent (AHB or Rheinboden Hypothekenbank AG): ISIN: Maturity: Date of refunding: Interest: Investment amounting to: Date of purchase: Selling bank: Investment advisory? (If yes, when, with whom and what information was given):
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