Omega Shareholder Application

Submission of this form does not guarantee acceptance. Applications are reviewed and approved by Omega leadership.

Share Price: $1,400 per share

Shareholders are distinct from Investors. Participation is subject to approval, and all access and rights are governed by formal shareholder agreements. Submitting this form is for application purposes only — no purchase or ownership is granted until formal approval is completed.

Shareholder Application

First Name

Last Name

Phone/Mobile

Country

Occupation

Reason For Applying

Acknowledgment Checkbox

I acknowledge this is a non-equity participation, returns are contingent upon profitability, no timeline or guaranteed return is promised, and no ownership, voting, or control rights are granted.

Submission of this application does not constitute an offer, acceptance, or guarantee of share issuance. Omega leadership reserves final approval.