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AQCI Share Counter Change Form
Your ID:
Your Password:
Number of AQCI shares held long:
Would you like to remain anonymous:
NOTE:

Make sure the password you use here is unique - do not use it on other web sites!
I cannot guarantee its safety.

User ID and Password are case sensitive and can contain only letters, numbers
and underscore. Please use your RB id.

Anonymous status is NOT a guarantee that no one will ever know how many
shares you own. We will do our best to ensure it though.