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Company Research Form

Please fill and submit this form, then return to the payment options.

Your Name:
Your Email Address:
(used for paypal)
Your Phone Number:
   
Name of Company To Be Researched:
State of Incorporation:  
Date of issuance:
Certificate #:
Shareholder's Name:
Shareholder's Social Security #:
Is there a date on the company seal?
If so, what is the date?:
State Shareholder lived in at the time the certificate was issued:
Number of shares / denomination:
CUSIP # (if dated after 1970)
Would you like your report sent by Email or First Class postage? Email First Class postage
Brief Description or other information

If you want me to provide a free appraisal of your certificate, I'll need to see a copy of it. You can do this by simply faxing me a copy at (435) 586-9497. We do not accept e-mail attachments as it takes too long to download them - a fax is much easier and faster - thank you.

 

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America West Archives 
Stock Research Services
P.O. Box 100
Cedar City, Utah 84721
(435) 586-9497  

Email Cheryl@OldStockResearch.com

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