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I authorize Credit Suisse AG ("CS") to send the information I provide on this form to CS offices in Poland and Switzerland as well as to its service providers, and other locations where CS does business, for the purpose of processing my order. My information will be treated confidentially and handled securely. It will be shared with CS affiliates and may become subject to the laws of the countries in which the information is accessed, shared, held or processed, and where required by law, may be disclosed to law enforcement or other third parties.

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