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Fun Miracles Share Registration Confirmation
This form is for completion by all Fun Miracles Shareholders, so that we can ensure that our records are complete as we are close to start the payment of dividends.
Name
*
First
Last
WSA Registered Email
*
WSA Username
*
Number of share purchased
*
Share certificate numbers
The following is only for members who have made a purchase and do not have a share cretificate. Please add the amount paid and the date ONLY IF YOU CANNOT COMPLTETE ALL BOXES ABOVE.
