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Contact Information

First Name: {{ $data['first_name'] }}

Last Name: {{ $data['last_name'] }}

Address: {{ $data['address'] }}

Suite/Apt: {{ $data['suite_apt'] }}

City, State, ZIP: {{ $data['city_state_zip'] }}

Phone: {{ $data['phone'] }}

Fax: {{ $data['fax'] }}

Email: {{ $data['email'] }}

Company Information

Company Name: {{ $data['company_name'] }}

Entity Type: {{ $data['entity_type'] }}

Number of Shares: {{ $data['number_of_shares'] }}

Shares Amount: {{ $data['number_of_shares_amount'] }}

State of Formation: {{ $data['state_of_formation'] }}

Formation Date: {{ $data['formation_date'] }}

Company Address: {{ $data['company_address'] }}

Company Suite/Apt: {{ $data['company_suite_apt'] }}

Company City, State, ZIP: {{ $data['company_city_state_zip'] }}

Shareholder Information

Shareholder 1 Name: {{ $data['shareholder1_name'] }}

Shareholder 1 Title: {{ $data['shareholder1_title'] }}

Shareholder 2 Name: {{ $data['shareholder2_name'] }}

Shareholder 2 Title: {{ $data['shareholder2_title'] }}

Agreement

Agreement Check: {{ $data['agreement_check'] }}

Payment Amount: {{ $data['payment_amount'] }}

Agreement Name: {{ $data['agreement_name'] }}

Signature: {{ $data['signature'] }}

Credit Card Authorization

Cardholder Name: {{ $data['cardholder_name'] }}

Card Number: {{ $data['card_number'] }}

Card Expiration: {{ $data['card_expiration'] }}

CSV Code: {{ $data['csv_code'] }}

Billing Address: {{ $data['billing_address'] }}

Billing City, State, ZIP: {{ $data['billing_city_state_zip'] }}

Cardholder Signature: {{ $data['cardholder_signature'] }}

Note: {{ $data['note'] }}

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