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Registered Shareholders

Please fill out the sections below. All information is required
Tax Number

9 digits with no dashes; e.g. 123456789

Social Security/Tax ID number:
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U.S. SS# U.S. Tax ID Canadian SS#

E-mail Address
E-mail Address:
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PIN – Personal Identification Number (4-digits)

We suggest using the last four digits of your Social Security Number

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