Shares of Zonneberg: Ghent Heat Plant project Complete the form Choose your action (*) Private registration Registration sole proprietorship or legal entity (company) Private deposit Additional payment for sole proprietorship or legal person (company) salutation (*) mr. Mrs. miss. Jr. Name (*) First Name (*) Sex (*) man Woman Date of birth (*) day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 month 1 2 3 4 5 6 7 8 9 10 11 12 year 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 Street (*) House number (*) bus number Postal Code (*) Local authority (*) Country (*) Belgium Bulgaria Cyprus Denmark Germany Estonia Finland France Greece Hungary Ireland Italy Croatia Latvia Lithuania Luxembourg Malta The Netherlands Austria Poland Portugal Romania Slovenia Slovakia Spain Czech Republic United Kingdom Sweden E-mail (*) (further communication will be by e-mail) Confirm email (*) Account number for dividend payment (*) BE Telephone mobile phone National register number (e.g. 80.05.07-145.07) (*) Desired number of shares (minimum 1, maximum (total) 25) (*) Amount € I agree to the terms and conditions regarding the public offering of shares of cv Zonneberg, and have taken note of the provisions and risks, as described in the information document . Ik heb kennis genomen van en aanvaard de voorwaarden met betrekking tot het GDPR-beleid met betrekking tot de verwerking van mijn persoonsgegevens zoals onderaan deze pagina omschreven. VERKLARING BESCHERMING PERSOONSGEGEVENS Copyright © Hefboom VZW 2021

SECONDARY NAVIGATION ABOUT ZONNEBERG MAIN NAVIGATION HOME PROJECTS EDUCATION FREQUENTLY ASKED QUESTIONS CONTACT BECOME A COOPERATIVE CONTACT DO YOU WANT... ...become a cooperative? ...ask a question? …stay informed about Zonneberg's ins and outs? Stay informed via our newsletter REGISTER © 2021 . CV Zonneberg Rainbow 2 9090 Melle Privacy Statement - Cookie Policy Projects Education Frequently Asked Questions Contact To ask? email frank. demulder @zonneberg.be follow us on Privacy settings WE USE COOKIES ON THIS SITE TO IMPROVE YOUR USER EXPERIENCE By clicking "OK" you give us permission to set cookies. More information ok i agree No thanks