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Israeli Accredited Investors

I hereby represents and warrants, on a continuing basis, that the information provided hereunder is true and correct and that I consent to being characterized as an Accredited Investor for purposes of section 15a(b)(1) of the Israeli Securities Law and understands the consequences of such characterization. (check all that apply – at least one of the three following conditions):*

Address

4 Ariel Sharon St., Givataim,
Hashachar Tower, Israel

Phone

077-3206050

Email

info@BroshCapital.co.il

Fax

077-3206057