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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. Instructions Print out and complete this form, then send it to your broker. Please also fax a copy to Refugee Relief's broker, Victoria von Schell at 650-854-9267. Date: ________________________________________ Attn: ________________________________________ (Your Broker's Name) _____________________________________________ (Name of firm) _____________________________________________ (Telephone number) Please accept this letter as your authorization to irrevocably transfer:
______________________________________________________________________ ______________________________________________________________________ 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:
If you have any questions, please contact: Kristine Jakovcevic at Salomon Smith Barney, 650-926-7153. |