PANTERA LONG-TERM ICO FUND LTD Subscription Documents (FOR NON-U.S. INVESTORS) Administrator: SEI Global Services, Inc.
[email protected] Fax: (484) 676-1474 DOC ID - 26818129.7 INVESTMENT PROCEDURES Prospective investors should read the Confidential Private Placement Memorandum for Pantera Long-Term ICO Fund Ltd (the "Fund") and this booklet prior to subscribing to the Fund. If you are interested in subscribing for Shares (as defined herein), please complete all applicable pages as indicated below and promptly return this booklet by facsimile or e-mail to the Fund's administrator, SEI Global Services, Inc. (the "Administrator") at
[email protected] (email) or (484) 676-1474 (fax) and
[email protected]: Investor Profile Form (pages 14-20) General Eligibility Representations (pages 21-26) Tax Information (page 26) Signature Page (page 27) WIRING INSTRUCTIONS You must wire the payment from an account in your name. If you are not wiring your payment from a bank located in an Approved FATF Country* you must contact the Administrator for further instructions prior to wiring your payment, which may result in a delay in your subscription. Bank Name: Silicon Valley Bank Bank Address: 3003 Tasman Drive Santa Clara, CA 94054 ABA: 121140399 Account Name: Pantera Long-Term ICO Fund Ltd Account Address: 3000 Sand Hill Road, Suite 1-235 Menlo Park, CA 94025 Account Number: 3302281124 IMPORTANT 1. Please have the wiring bank identify the name of the prospective investor on the wire transfer. 2. We recommend that the wiring bank charge its wiring fees separately so that the amount you have elected to invest may be invested.