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Get Fidelity BrokerageLink Limited Third-Party Trading Authorization and Indemnification Form

___________________________________________ Name of Participant:____________________________________________________________________________________________________ Social Security Number:___________________ Fidelity BrokerageLink® Account Number:______________________ Daytime Phone:____________________ Use this form to grant trading authority to a third party on the Fidelity BrokerageLink account listed above. • Read all instructions carefully and please use a pen and print clearly. • C.

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