**All Fields are compulsory
The Managing Director Summit Finance Company Limited Summit House 6 Ajele Street Lagos Island Lagos.
Dear Sir,
AUTHORITY TO SELL SHARES IN MY CSCS ACCOUNT NO: **
I hereby authorize you to sell the under-listed shares on my behalf:
	Security	Units (=N=)	Price limit (If any)
	--Please Select-- 7UPAcademyAPAshakacemBCCBergerBocgasCADBURYCAPCCNNChevronConoilCostainCutixDanSugarDunlopEkocorpETIFCMBFlourmillGlaxoSmithGuarantyGuinnessJULIUS BERGER PLCLawunionMayBakerMobilNahcoNasconNBNBCNestleOandoOkomuoilPlatinumPZRTBriscoeSTANBIC IBTCTotalTrippleGUAC NIGERIA PLCUAC PROPUBAUnileverUnionDiconUnity BankWapocZenithBank **	**
	--Please Select-- 7UPAcademyAPAshakacemBCCBergerBocgasCADBURYCAPCCNNChevronConoilCostainCutixDanSugarDunlopEkocorpETIFCMBFlourmillGlaxoSmithGuarantyGuinnessJULIUS BERGER PLCLawunionMayBakerMobilNahcoNasconNBNBCNestleOandoOkomuoilPlatinumPZRTBriscoeSTANBIC IBTCTotalTrippleGUAC NIGERIA PLCUAC PROPUBAUnileverUnionDiconUnity BankWapocZenithBank
	--Please Select-- 7UPAcademyAPAshakacemBCCBergerBocgasCADBURYCAPCCNNChevronConoilCostainCutixDanSugarDunlopEkocorpETIFCMBFlourmillGlaxoSmithGuarantyGuinnessJULIUS BERGER PLCLawunionMayBakerMobilNahcoNasconNBNBCNestleOandoOkomuoilPlatinumPZRTBriscoeSTANBIC IBTCTotalTrippleGUAC NIGERIA PLCUAC PROPUBAUnileverUnionDiconUnity BankWapocZenithBank
	--Please Select-- 7UPAcademyAPAshakacemBCCBergerBocgasCADBURYCAPCCNNChevronConoilCostainCutixDanSugarDunlopEkocorpETIFCMBFlourmillGlaxoSmithGuarantyGuinnessJULIUS BERGER PLCLawunionMayBakerMobilNahcoNasconNBNBCNestleOandoOkomuoilPlatinumPZRTBriscoeSTANBIC IBTCTotalTrippleGUAC NIGERIA PLCUAC PROPUBAUnileverUnionDiconUnity BankWapocZenithBank
	--Please Select-- 7UPAcademyAPAshakacemBCCBergerBocgasCADBURYCAPCCNNChevronConoilCostainCutixDanSugarDunlopEkocorpETIFCMBFlourmillGlaxoSmithGuarantyGuinnessJULIUS BERGER PLCLawunionMayBakerMobilNahcoNasconNBNBCNestleOandoOkomuoilPlatinumPZRTBriscoeSTANBIC IBTCTotalTrippleGUAC NIGERIA PLCUAC PROPUBAUnileverUnionDiconUnity BankWapocZenithBank
	--Please Select-- 7UPAcademyAPAshakacemBCCBergerBocgasCADBURYCAPCCNNChevronConoilCostainCutixDanSugarDunlopEkocorpETIFCMBFlourmillGlaxoSmithGuarantyGuinnessJULIUS BERGER PLCLawunionMayBakerMobilNahcoNasconNBNBCNestleOandoOkomuoilPlatinumPZRTBriscoeSTANBIC IBTCTotalTrippleGUAC NIGERIA PLCUAC PROPUBAUnileverUnionDiconUnity BankWapocZenithBank
	Mode of communication after purchase?		By Phone		By E-mail
Kindly raise an open / closed cheque for the proceeds in favour of :
Thank you. Yours faithfully,
Sign:	-I don't agree- I Agree **
Name	**