Registration of Securities Pursuant to Dividend or Interest Reinvestment Plan — Form S-3
Filing Table of Contents
Document/Exhibit Description Pages Size
1: S-3D Registration of Securities Pursuant to Dividend or 21 114K
Interest Reinvestment Plan
2: EX-5.1 Opinion re: Legality 2 11K
3: EX-8.1 Opinion re: Tax Matters 8 32K
4: EX-23.3 Consent of Experts or Counsel 1 7K
5: EX-99.1 Miscellaneous Exhibit 2 7K
EX-99.1 — Miscellaneous Exhibit
EX-99.1 | 1st Page of 2 | TOC | ↑Top | Previous | Next | ↓Bottom | Just 1st |
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Exhibit 99.1
x
ENROLLMENT AUTHORIZATION FORM x
(FOR MORE INFORMATION SEE REVERSE) DIVIDEND REINVESTMENT PLAN xxxx
Please enroll my account as follows:
------------------------------------
Place an "X" in one of the boxes only,
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using black or blue ink [X]
[_] 1. Full Dividend Reinvestment - Reinvest
any dividends that may become payable to
me on all Common Stock now or hereafter
registered to me.
[_] 2. Partial Dividend Reinvestment -
Reinvest any dividends that may become
payable to me on the following shares of
my Common Stock. ----------
Shs.
----------
Signature(s) of I understand that I may change or revoke
Registered Owner(s) _______________ this authorization at any time by
Date notifying First Chicago, in writing, of
my desire to change or terminate by
___________________________________ participation.
Date
All joint owners must sign
ENROLLMENT AUTHORIZATION FORM
I hereby appoint First Chicago Trust Company of New York as my agent under the
terms and conditions of the Dividend Reinvestment Plan as described in the
prospectus which accompanied this Enrollment Authorization Form.
INSTRUCTIONS
1. Please check only one box (No.1 or No. 2). If you do not check any box, then
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Box 1 - FULL DIVIDEND REINVESTMENT will be assured.
2. If you checked Box 2, and:
- if you wish to reinvest cash dividends on all of the shares
now registered in your name but not on any additional shares
that may be registered in your name in the future, write the
total number of shares now registered in your name in the
space provided.
- if you wish to reinvest cash dividends on less than all of
the shares now registered in your name and continue to receive
a check for cash dividends on the remaining shares, write the
number of shares on which you do wish dividends reinvested in
the space provided.
3. Under each option, regardless of the one you select, dividends received on
shares accumulated and held under the Plan will be reinvested.
4. Be sure to date and sign this form and return it in the postage pre-paid
envelope provided or mail it to First Chicago Trust Company of New York, P.O.
Box 2598, Jersey City, N.J. 07303-2598.
DO NOT RETURN THIS FORM UNLESS YOU INTEND TO PARTICIPATE
SINCE THIS FORM AUTHORIZES THE ENROLLMENT OF YOUR ACCOUNT IN THE PLAN.
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