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Subject: Outbound DRS Transfer of GME shares to ComputerShare
To whom it may concern,
I am requesting an outbound DRS transfer to ComputerShare based on the following information. Please note that I agree with the $215 associated fees; and the $125 rejection fee if the transfer failed.
Firstrade Account Information:
Account Name: (First Name, Surname)
Firstrade account number:
Client contact information:
Tel:
Email:
Address:
US SSN/Tax ID: 999-99-9999
Transfer Information:
Company name: Gamestop
CUSIP: 36467W109
Ticker: GME
Number of Shares:
Receiving Firm:
Name: Computershare Trust Company
DTC number: 7807
Account number: I don’t have a ComputerShare account
Account name: I don’t have a ComputerShare account
Tel:
Email:
Address:
Client Signature:
Date: