TseskoInventing ways to keep you out of the dark

1903 Deerfield CourtOxon Hill, Maryland 20745

(301) 505-2523

Investor/Client Information Request Form

I am interested in becoming a Tsesko: Investor ( )Client ( )

Name: _________________________________________________________________

Title: _________________________________________________________________

Address: Home _____________________________________________________

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Office _____________________________________________________

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Telephone Numbers: Home _________________________________________

Office _________________________________________

Cellular _________________________________________

Facsimile _________________________________________

E-mail Address: Home _________________________________________

Office _________________________________________

Web Site: _________________________________________________________________

Please mail this form to the address shown below. Upon receipt, a Tsesko representative will contact you to answer any questions and to provide additional information about our products and investment opportunities.

Thank you for your consideration.