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GREAT BASIN SCIENTIFIC SERIES E PREFERRED CONVERSION FORM TO BE SENT TO AST BROKERS LETTERHEAD (OR CLEARING FIRM) [DATE] American Stock Transfer & Trust Company, LLC Attn: Lucy Peeler/Yvonne Rivera
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How to fill out preferred conversion request form

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Visit the official website of the desired conversion service provider.
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Look for the section related to preferred conversion requests.
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Fill out the form with your personal details, including name, email, and contact number.
04
Specify the type of conversion you are requesting and provide all necessary details and specifications.
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The preferred conversion request form is a document used by eligible shareholders to request the conversion of shares from one class to another, typically from common shares to preferred shares.
Eligible shareholders of a corporation who wish to convert their shares must file the preferred conversion request form.
To fill out the preferred conversion request form, shareholders need to provide their personal information, details about the shares they wish to convert, and any necessary signatures. It's important to follow the instructions provided on the form.
The purpose of the preferred conversion request form is to formally request the conversion of shares and to document the shareholder's intent and eligibility to complete the conversion process.
The form must include the shareholder's name, address, number of shares to be converted, type of shares being converted, and any other required signatures or additional information as specified in the form's instructions.
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