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Get Shareholder Id Card Form

Shareholder ID Card To obtain a Goldbelt Shareholder ID card please complete this form. The headshot that you attach must be recent taken within the past 3 years clear and forward-facing. When sending by email please attach the photo as a jpeg or tiff* This form can be submitted via mail to the above address and also may be submitted by email to mail*shareholder goldbelt. com* Photos are also available to be taken in person at the corporate office. If you have any further questions or wish to make an appointment contact us at 907 790-4990. Complete the following Name Birth Date Social Security Mailing Address City State Zip Code Home Phone Cell Phone Email Mail Preference Email Print I declare the attached photograph is a true photo of. When sending by email please attach the photo as a jpeg or tiff* This form can be submitted via mail to the above address and also may be submitted by email to mail*shareholder goldbelt. com* Photos are also available to be taken in person at the corporate office. If you have any further questions or wish to make an appointment contact us at 907 790-4990. com* Photos are also available to be taken in person at the corporate office. If you have any further questions or wish to make an appointment contact us at 907 790-4990. Complete the following Name Birth Date Social Security Mailing Address City State Zip Code Home Phone Cell Phone Email Mail Preference Email Print I declare the attached photograph is a true photo of. When sending by email please attach the photo as a jpeg or tiff* This form can be submitted via mail to the above address and also may be submitted by email to mail*shareholder goldbelt. com* Photos are also available to be taken in person at the corporate office. If you have any further questions or wish to make an appointment contact us at 907 790-4990. Complete the following Name Birth Date Social Security Mailing Address City State Zip Code Home Phone Cell Phone Email Mail Preference Email Print I declare the attached photograph is a true photo of.

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  • tiff
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