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    Leading Belize's Digital Transformation!

     Empowering businesses and communities with cutting-edge technology, we are at the forefront of Belize’s digital evolution. From seamless connectivity to innovative solutions, we’re building a smarter, more connected future—one breakthrough at a time.   Find out more!
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      Shareholder’s Name:*
      Full Name of any other holder:*

      Residential Address:*
      Email Address:*

      Mailing Address:
      Phone Number(s):*

      Signature of Shareholder*
      Date*

      Request for bank transfer

      I of , Belize do solemnly and sincerely declare that I am the true owner of Ordinary shares in Belize Telemedia Limited. I hereby request that all Belize Telemedia Limited dividend payments are deposited to the following account:
      Bank: Name: Account #: And I make this solemn declaration, conscientiously believing the same to be true; and by virtue of the provisions of The Oaths Act, Chapter 130 of the Laws of Belize. Signature of Shareholder Declared and subscribed at . This day of . 2025 before me,


      NOTARY PUBLIC/JUSTICE OF THE PEACE
      N.B. Please note that the shareholder’s name must match with the name on the bank account.
      For further details, contact prdept@livedigi.com


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