Brookfield Class Action

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BIRCH MOUNTAIN SHAREHOLDER REGISTRATION FORM

This Registration form is for any shareholders of Birch Mountain who have not previously filled in a registration form with Champion Stakeholders.

Complete the form below. When you have finished entering your data click the "send form" button. If your information has been successfully received a pop up window will be displayed stating "Your information has been sent". You will then be automatically redirected to the Homepage. Your share purchase information will be added to the Brookfield Class Action registrant database.

If you have made more than one Birch Mountain share purchase transaction please email the purchase transaction information to shareholder@brookfieldclassaction.com.

Please include the dates of purchase, quantity of shares purchased, and price per share paid for each transaction. This information will be added to the database of Brookfield Class Action registrant members.




BIRCH MOUNTAIN SHAREHOLDER

INFORMATION SHEET

A value is required.

A value is required.

A value is required.

A value is required.

A value is required.

A value is required.

A value is required.

A value is required.

A value is required.

A value is required.

A value is required.

 


 





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