POS AM: Post-effective amendment to a registration statement that is not immediately effective upon filing
Published on November 23, 2004
EXHIBIT 99.2
ENROLLMENT AUTHORIZATION FORM
Please enroll my account as follows:
Place an "X" in ONE box only, using a dark
ink pen or a #2 pencil ([x])
If you do not check any box, then FULL DIVIDEND
REINVESTMENT will be assumed.
PARTIAL DIVIDEND REINVESTMENT
Send any dividends in cash on ______________* whole
shares and reinvest any remaining dividends.
ALL CASH (NO DIVIDEND REINVESTMENT)
All dividends will be paid in cash.
*Cannot be greater than the total number of
certificated and/or book-entry shares that may
hereafter be registered in your name.
AUTOMATIC DEDUCTIONS
To authorize deductions, complete both sides of the
next form below.
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3. ACCOUNT TYPE
CHECKING |_| SAVINGS |_|
(Please detach, but do not fold or staple)
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VOLUNTARY CASH PAYMENT FORM
To purchase additional shares, please make
your check payable in U.S. Dollars to
EquiServe.
Please include your account number and the
name of the security in the Memo portion
on your check.
EQUISERVE WILL NOT ACCEPT CASH, TRAVELER'S
CHECKS, MONEY ORDERS OR THIRD PARTY CHECKS.
Amount enclosed $
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MAIL YOUR CHECK TOGETHER WITH THIS FORM IN THE
POSTAGE PRE-PAID ENVELOPE PROVIDED OR TO THE
ADDRESS SHOWN ON THE REVERSE SIDE OF THIS FORM.
( )
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Daytime telephone number
Participation in the plan is subject to the terms as outlined in the plan
document.
For information, you may access EquiServe's website at www.equiserve.com, call
EquiServe at the number listed in the enclosed plan document or write to
EquiServe at P.O. Box 43081, Providence, RI 02940-3081.
Voluntary cash payments should be mailed to EquiServe Investment Plan Services,
P.O. Box 13531, Newark, NJ 07188-0001.
USE THIS ILLUSTRATION AS A GUIDE TO HELP YOU COMPLETE THE AUTHORIZATION FORM FOR
AUTOMATIC DEDUCTIONS
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AUTHORIZATION FORM FOR AUTOMATIC DEDUCTIONS
INSTRUCTIONS -- PLEASE COMPLETE ALL 7 STEPS
Complete and return this form ONLY if you wish to authorize automatic deductions
to purchase additional shares. Deductions can only be made from accounts at U.S.
banks and financial institutions. There are 7 steps to complete on both sides of
this authorization form. Each one is important in setting this up for you.
Please be sure to complete all 7 steps, using a dark ink pen or a #2 pencil.
Let's start with the 6 items on the reverse side.
1. -- Bank Routing Number: Locate your bank's 9 digit routing number in the
lower left portion of your check or deposit slip as illustrated above.
Write that number in the 9 boxes across the top of the grid and then shade
in the corresponding box beneath each number.
2. -- Bank Account Number: Locate your bank account number and shade in the
grid as you did in Step 1. Please note, there may be more spaces than you
need, so be sure to start from the left side as the machine that reads this
form will start reading the grid from the left side. Please do not put
dashes or leave blank spaces between your numbers.
3. -- Account Type: Are we debiting your checking or savings account? Check
one. If deductions are to be made from a money market account, please
contact your bank/financial institution to confirm if your account is a
checking or a savings account.
4. -- Withdrawal Amount: Enter the amount to debit from your bank account in
the boxes across the top of the grid. Now, shade in the grid as you did
before. Express the withdrawal amount in whole dollars only, no cents.
(Refer to the enclosed plan document for the minimum amount.)
5. -- Cycle: Refer to the enclosed plan document for the frequency of
automatic deductions. If the plan permits deductions only once a month,
please shade in the grid under "1st cycle." If the plan permits deductions
twice per month, you must indicate your choice of deduction dates, either
the earlier date (1st cycle) or the later date (2nd cycle), or both.
6. -- Signature(s): Also, be sure to read the Automated Deduction
Authorization (below, at left) that authorizes us to perform this service
for you.
7. -- Bank/Financial Institution Information: Now, fill in the blank name and
address (below, at right) and you're all done.
VOLUNTARY CASH PAYMENT INFORMATION
Voluntary cash payments should be mailed to EquiServe Investment Plan
Services, P.O. Box 13531, Newark, NJ 07188-00001.
For information, you may access EquiServe's website at www.equiserve.com,
call EquiServe at the number listed in the enclosed plan document or write
to EquiServe at P.O. Box 43081, Providence, RI 02940-3081
INFORMATION AVAILABLE ONLINE AT www.equiserve.com
With the right information at hand, plus the tools to put the information
to work now, you'll be more in touch with your investments than ever. At
www.equiserve.com you'll find everything you need to:
o Look up recent stock prices
o Get answers to frequently asked questions
o Review investment plan information
o Download and print forms