Online Financial
Statement Request FormUse this form to file your
request to receive quarterly financial statements and M D & A and/or annual
financial statements and M D & A for the ensuing year from any company in
which you are the owner of securities (other than debt instruments) for which
we act as transfer agent. You have the option to request to receive these
statements electronically* or by mail.
* The option to receive financial statements
electronically will only be provided where Pacific Corporate Trust Company
maintains the mailing list.