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ZooShare Designation of Beneficiary

Complete this form to designate a beneficiary aka Joint Bondholder with Right of Survivorship for your ZooShare bond(s). This form must be completed and signed by the bondholder to be valid. The designated beneficiary must be a member of the co-op and pay the one-time $10 lifetime co-op membership fee (you can pay this on their behalf). You can pay this online using this link or see instructions below to pay by cheque.

First Name

Last Name

E-Mail Address

Phone Number

Mailing Address

Bond Number (if multiple bonds held, enter numbers below separated by spaces or commas)

Beneficiary / Joint Bondholder First Name

Beneficiary / Joint Bondholder Last Name

Your relationship to the Beneficiary / Joint Bondholder

A
B
C

Beneficiary / Joint Bondholder E-Mail Address

Does the Beneficiary / Joint Bondholder have the same mailing address as you?

A
B

Beneficiary / Joint Bondholder SIN

(Required for income tax purposes. You can also phone or e-mail us with this information) Please enter without spaces or dashes

Confirm if the Beneficiary / Joint Bondholder has paid the $10 ZooShare membership fee / is already a co-op member

You can also pay the fee on their behalf
A
B
C

Bondholder Signature

Signature