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Refugee Relief International, Inc.
Securities Transfer Form
Use this form to transfer shares of stock directly from your brokerage account to Refugee Relief International, Inc's account.
printer ready form
Instructions
Print out and complete this form, then send it to your broker. Please
also fax a copy to Kristine Jakovcevic, The Peninsula Group
at Smith Barney, 650-561-1869.
Date: ________________________________________
Attn: ________________________________________ (Your Broker's Name)
_____________________________________________ (Name of firm)
_____________________________________________ (Telephone number)
Please accept this letter as your authorization to irrevocably transfer:
| Name of Stock |
Stock Symbol (optional) |
Number of Shares |
______________________________________________________________________
______________________________________________________________________
In the name of:
(holder of securities and all names on the account)
______________________________________________________________________
______________________________________________________________________
To the account of: Refugee Relief International, Inc., Account # 740-22834-1-5-764
Signature of holder of securities:
_____________________________________________________________________
Gift Designation: ______________________________________________________
(purpose of gift)
Instruct your financial institution as follows:
Wiring Instructions:
Citibank N.A.
ABA #021000089
Credit Account: 30604518
Credit Account Name: Citigroup Global Markets Inc.
For further credit to: 740-22834-15, Refugee Relief International
Inc.
Contact: Kristine Jakovcevic, The Peninsula Group at
Smith Barney,
650-561-1861
Stock Transfer Instructions:
Smith Barney DTC #0418
Credit: 740-22834-15, Refugee Relief International Inc.
Contact: Kristine Jakovcevic, The Peninsula Group at
Smith Barney,
650-561-1861
Physical Certificates:
DTC eligible shares: DTC #0418
Solomon Smith Barney
2775 Sand Hill Road, Suite 120
Menlo Park, CA 94025
For further credit to: Refugee Relief International, Inc.,
Account # 740-22834-1-5-764
If you have any questions, please contact:
Kristine Jakovcevic at Salomon Smith Barney, 650-926-7153.
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