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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.




    Refugee Relief International, Inc.
    2995 Woodside Road #400-244
    Woodside, CA 94062
    email: info@refugeerelief.org