Payment Instructions

PAYMENT BY CHECK:
West Coast Stock Transfer Inc.
721 N. Vulcan Ave. Ste. 106
Encinitas, CA 92024

PAYMENT BY CREDIT CARD:
Please enter the information requested within each field below prior to clicking the "Pay Now" button.

Payment On

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Invoice# or Statement Date

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Issuer/Shareholder Name

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Description:

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Payment Amount (USD):

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