ECONOMIC RESEARCH
& ANALYSIS INC.


Let us do the most important job, which can positively impact your life.

ASSET VALUATION

Create your profile and upload your received documents, emails, entities, share certificate for FREE for our further evaluation.

Upon sending this form we will automatically create an account for you, then you can access the website with your email and provided password and check your uploaded documents and/or change your password.

 

Assistance request:


Your details


1. Your name *

2. Your address *

3. Your email *

4. Your daytime telephone number *

5. Your age

 

Firm details


6. Name of the firm

7. Address of the firm

8. What is the telephone number of the firm that contacted you?

9. What is the website address of the firm that contacted you?

10. How were you initially contacted?

11a. Transfer Agent Beneficiary Account Name

11b. Transfer Agent Account Number

11c. Bank Name and Bank Address

11d. Bank SWIFT CODE

 

Details of the transaction


12. What was the firm offering to do?

Which company are the shares in?

13. If not shares, which investments did they contact you about?

14a. Were you told that you would need to pay a commission or fee?

14b. What was the fee for? (legal advice, derestriction of shares, etc?)

14c. Do you have your share certificate?

14d. If yes, please provide the following:
Price for share:

Number of shares purchased:

15. Any further comments

Add documents



Name of file:
 




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