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Get ComputerShare E1UDD

This authority is to remain in effect until my our written authorization to terminate direct deposit is received in time to afford Computershare reasonable opportunity to act on it or until this service is terminated by the payer or Computershare. All registered shareholders as well as all individuals listed on the financial account must sign below. Signature 1 - Please keep signature within the box. Date mm/dd/yyyy Daytime Telephone Number Please return completed form to E1UDD 00H7WC-WEB PO Box 43078 Providence RI 02940-3078 How to complete this form Print the complete bank account number. Checking Account Savings Name s that appear on the account at your financial institution Name of Financial Institution I/We hereby authorize Computershare as disbursing agent for the payer to initiate dividend credit entries to my our account or if necessary debit entries or adjustments for any credit entries in error. This authority is to remain in effect until my our written authorization to terminate direct deposit is received in time to afford Computershare reasonable opportunity to act on it or until this service is terminated by the payer or Computershare. All registered shareholders as well as all individuals listed on the financial account must sign below. Computershare Shareholder Services Inc. 250 Royall Street Canton Massachusetts 02021 www. computershare. com Name Address Holder Account Number City State Zip Company Name Use a black pen. Print in CAPITAL letters inside the grey areas as shown in this example. A B C X Authorization for Electronic Direct Deposit Account Number Bank Routing Number Note DO NOT USE YOUR CREDIT CARD NUMBER. If you are unsure of your Bank Routing Number or account number please check with your financial institution or see reverse. A B C X Authorization for Electronic Direct Deposit Account Number Bank Routing Number Note DO NOT USE YOUR CREDIT CARD NUMBER. If you are unsure of your Bank Routing Number or account number please check with your financial institution or see reverse. Checking Account Savings Name s that appear on the account at your financial institution Name of Financial Institution I/We hereby authorize Computershare as disbursing agent for the payer to initiate dividend credit entries to my our account or if necessary debit entries or adjustments for any credit entries in error. Computershare Shareholder Services Inc* 250 Royall Street Canton Massachusetts 02021 www. computershare. com Name Address Holder Account Number City State Zip Company Name Use a black pen* Print in CAPITAL letters inside the grey areas as shown in this example. A B C X Authorization for Electronic Direct Deposit Account Number Bank Routing Number Note DO NOT USE YOUR CREDIT CARD NUMBER* If you are unsure of your Bank Routing Number or account number please check with your financial institution or see reverse. Checking Account Savings Name s that appear on the account at your financial institution Name of Financial Institution I/We hereby authorize Computershare as disbursing agent for the payer to initiate dividend credit entries to my our account or if necessary debit entries or adjustments for any credit entries in error. .

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Business, legal, tax along with other documents require an advanced level of compliance with the legislation and protection. Our documents are regularly updated in accordance with the latest amendments in legislation. Additionally, with us, all the data you include in your ComputerShare E1UDD is well-protected against loss or damage via top-notch encryption.

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  7. Press Done and download the resulting document.

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