ZeekRewards瑞柯公司受害者自救會 ~ 授權書

SKH LAW

300 Whispering Pines Dr.,Arcadia, CA 91006 USA

Tel:(626)590-5642.Fax:(626)414-9989

                              E-Mail: karl.su.law@gmail.com

授權書Authorized certification

I (本人 ):

Last Name(姓):  ________________      First Name(名):   ______________________________________

Nationality (國籍):                                         ID#(證件號碼):

_ Taiwan, R.O.C._                            ___________免填_____________________

UserName(帳號名稱):

______________________________________________________________

Join Date(參加日期):

(M)________________ (D)___________________(Y)____________________

Amount Invested(投資金額)

$_________________________________________________________

Received Amount(已取回金額)

$______________________________________________________

Telephone(聯絡電話):

(________886_________)(_________________)(_________________________________________)

I agree to authorize Mr.Karl Su, Esq. of SKH LAW

on behalf of my SCE application for the return of investment Zeekrewards funds.

(  我同意授權Mr.Karl Su,Esq. of SKH LAW 代表我,

向SCE 申請歸還投資Zeekrewards 的資金. )

Signature (本人簽名):              Date (日期):

_______________             ____________________