September 23, 2009 - EXHIBIT 99.3 - S-3ASR: Automatic shelf registration statement of securities of well-known seasoned issuers

EXHIBIT 99.3



	Computershare Trust Company, N.A.
	PO Box 43078 Providence, RI 02940-3078 Within USA, US territories & Canada 800 519 3111 Outside USA, US territories & Canada 800 519 3111 www.computershare.com/investor


Name

Address

City, State, Zip

Use a black pen. Print in
CAPITAL letters inside the grey
areas as shown in this example.

This form is to be used for recurring debits only.

Do not use for one time purchases.

Direct Stock Purchase Plan - Direct Debit Authorization - Monthly

Funds will be withdrawn on the 9th day of the month or on the next
business day.

Dollar Amount:

This plan allows for a minimum amount of $50 with a
maximum of $6,250 per Month. If applicable, an enrollment
fee will be deducted from the initial investment.

Financial Institution Information

Individual

Joint

Other

Checking
Account

Savings
Account

Please select one.

Financial institution account number

Financial institution routing number

Note: DO NOT USE A CREDIT CARD. If you do not know your account number or the routing number, please see the reverse side of this form or check with your financial institution.

Account numbers must be in numeric format.

Name(s) in which the above account is held

Note: If you are not currently enrolled in this company’s Plan, by signing this form, you agree to the following: (1) to enroll in the Plan for full dividend reinvestment so that all of your dividends will be used to purchase additional shares (if available); (2) to be bound by the terms and conditions of the prospectus or brochure that governs the Plan; (3) that you have read and fully understand the terms and conditions of the prospectus or brochure; and (4) that you further agree that your participation in the Plan will continue until you notify Computershare in writing or by other available means that you desire to terminate participation in the Plan. Upon providing such notification, you acknowledge that withdrawal from the Plan will be subject to the terms and conditions of the prospectus or brochure that governs the Plan.

I/We hereby authorize Computershare to make monthly automatic transfers of funds from the above account in the amount shown. This deduction will be used to purchase shares to be deposited into my/our account.

All owners of the financial institution account must sign below.

Signature 1 - Please keep signature within the box.

Signature 2 - Please keep signature within the box.

Date (mm/dd/yyyy)

Daytime Telephone Number

Please return completed form to:

Computershare

P.O. Box 43078

Providence RI 02940-3078

	E 5 U E M D	O H I
00H3PC-WEB

How to complete this form


1.	This company plan offers only monthly deductions. Check the box to confirm your agreement.

2.	Amount of automatic deduction: Indicate the amount authorized to transfer from your account to purchase additional shares.

3.	Indicate the type of account held with the financial institution.

4.	Indicate checking or savings.

5.	Print the complete financial institution account number.

6.	Print the financial institution routing number from your check or savings deposit slip. If you are using a savings account, contact your financial institution for the routing number.

7.	Print the name(s) in which the financial institution account is held.

8.	All authorized owners of the financial institution account must sign this form.

SAMPLE CHECK

Name(s) in which

John A. Doe

63-858

account is held

Mary B. Doe

670

123 Your Street

Anywhere , U.S.A. 12345

___________________20______

PAY TO THE

ORDER OF

Bank of Anywhere

Financial institution and

123 Main Street

branch information

Anywhere, USA 12345

FOR

SAMPLE (NON-NEGOTIABLE)

Routing number

Account number

Check number

00H3QA-WEB