Service
ShareLink Client    Will you be utilizing Broadridge to mail to your Registered Shareholders?	YesNo
Electronic Delivery:    Do the state laws where you are incorporated allow for electronic delivery, if so would you like to use it?	YesNo
First Year Open Enrollment Client:    Is this your first year using Broadridge's Open Enrollment Services?	YesNo
Interactive Document:   Will you be utilizing Broadridge's Interactive Document solution?	YesNo
Web Hosting:   Is Broadridge providing web hosting services?	YesNo
Warehousing and Inventory Management   Will you be utilizing Broadridge's Warehousing and Inventory Management?	YesNo
Optional Second Notice Mailing:	YesNo

Dates
Record Date:	Date Format: mm/dd/yyyy
Agenda Finalization Date:	Date Format: mm/dd/yyyy
SEC Filing Date:	Date Format: mm/dd/yyyy
Meeting Date:	Date Format: mm/dd/yyyy
Total Beneficial Shareholder Positions:	(example - 5000)