Contact Investors Relations, Karen Winkler at Golden Minerals and she will send you the following information:
Adam Burnham
Relationship Manager, Essential Registry Team
Computershare
350 Indiana Street, Suite 750
Golden, CO 80401
Dear Adam,
Please initiate a transfer of the following Golden Minerals Company investor shareholdings from beneficially-owned to directly-registered shares, as per the investor’s request. Full details are as follows:
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Investor name
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Investor’s current account held at:
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(broker name and address)
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Current account held in name of:
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(name and address as it appears in your account)
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Current account number/s:
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Shares to be transferred:
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number of shares held/ticker
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US Affiliate who will assist with transfer:
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(if account is held at non-US brokerage)
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US Affiliate’s DTC FAST No.:
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New directly held shares to be:
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(held in book entry or certificated)
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New shares should be registered in name of:
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Investor Address:
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(complete mailing address)
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Special handling request:
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(FedEx or special shipping?)
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