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Get Electronic Banking Information Form

Oll-free 1.800.544.5248 Or write to the Plan at P.O. Box 55205 Boston, MA 02205-5205 Visit www.ScholarShare.com Instructions Complete all sections of this form to add or change the Automatic Contribution Plan (ACP) and/or Electronic Purchase Option on a Plan Account. Print in capital letters using blue or black ink, sign and date the form and mail it to the Plan at the above address. Please complete a separate Electronic Banking Information Form for each Account and/or Beneficiary.

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