Thank you for submitting your Shareholder Declaration. Your request has been received and will be processed.Dividends Postal FormYou are filling out this form because you have opted to receive your dividend cheques from BCSD by MAILFirst Name:*Middle Name:Last Name:*NIB#:*Telephone#:*Street Address:P.O. Box:*City:*State/Province:*Country:*Add Joint Shareholders?No YesFull Name:*NIB#:*Full Name:NIB#:Full Name:NIB#:Full Name:NIB#:Full Name:NIB#:Disclaimer: Please note that BCSD is not responsible for the delivery time taken via the Local Postal Service.Upload Photo or Scan of NIB Card*Drop files here or click to select% Completed0Upload Photo or Scan of Driver's Licence or Passport*Drop files here or click to select% Completed0 Submit
