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DIVIDEND REINVESTMENT AUTHORIZATION PLEASE NOTE: Dividend reinvestment is available on margin eligible securities. Generally, this includes all U.S. listed stocks, including Nasdaq issues valued at greater than or equal to $4.00 a share. Select ONE of the following options: Option 1 Check this box to reinvest dividends on all eligible securities in your brokerage account. • The account must contain at least one security to have the entire account coded for dividend reinvestment. Option 2 Complete the section below to reinvest dividends on selected securities only held in your account. Check the delete box to discontinue dividend reinvestment. • Mark an "X" in either the Add or Delete column. 69257R 06-2007 ACCOUNT NAME DATE # Add Delete NO Fractions Security Name Cusip #/ Symbol/ ADP # CORRESPONDENT FIRM NAME SUBMITTED BY PHONE # Fax this completed form to (866) 283-6097 or call (888) 859-9826. Please type or print clearly in BLUE or BLACK ink. 1 2 3 4 5 6 7 8 9 10 11 12 ACCOUNT NUMBER Ridge Clearing & Outsourcing Solutions