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Please note:
UBS AG does not accept any kind of business transaction, e.g.

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through this form.

This form can be transmitted to UBS to

UBS Belgium SA / NV
Carl Van den Bergh
Avenue de Tervueren 300
1150 Bruxelles
Belgique

UBS Belgium SA / NV
Carl Van den Bergh
Tervurenlaan 300
1150 Bruxelles
België

or via the Internet, an open network which can be accessed by anyone. UBS would like to draw your attention expressly to the following:
data which is transmitted via the Internet may be transmitted across international borders even though both sender and receiver are located in Switzerland;
data transmitted via the Internet is not encrypted and could therefore be read by third parties.

Important legal information - please read the disclaimer before proceeding.

Products and services in these webpages may not be available for residents of certain nations. Please consult the sales restrictions relating to the service in question for further information. For further details, please refer to our country-specific pages.