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Electronic Funds Transfer and Automatic Investments - Fidelity

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3 AUTOMATIC INVESTMENTS<br />

Are these instructions replacing existing <strong>Automatic</strong> <strong>Investments</strong> instructions on your account? Yes No<br />

I would like to invest*: $<br />

These investments should take place on the following month <strong>and</strong> date (mm/dd) / .<br />

I would like my regular investments to expire on the following date** (mm/dd/yyyy) / / .<br />

The frequency will be (check one):<br />

Monthly OR Quarterly OR Custom (select at least 2 months below):<br />

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec<br />

If a start date or investment amount is not provided, the installment will begin on the first day of the frequency indicated<br />

above, <strong>and</strong> the investment amount will be the minimum.<br />

*Minimum investment is $100 for <strong>Fidelity</strong> funds (some funds may have higher minimums). Refer to prospectus for minimum investment requirements.<br />

** Please note that if you do not indicate an expiration date above, <strong>and</strong> your account has margin, your account may continue to regularly purchase these<br />

funds, creating a margin debit balance, even if the cash in your cash core account is insufficient to cover the purchase(s). If you do not have margin on<br />

your account, your account may continue to regularly purchase these funds, creating a cash debit balance, even if the cash in your core account is insufficient<br />

to cover the purchase(s).<br />

For Mutual Fund accounts:<br />

Indicate the fund you wish to automatically invest in:<br />

For Brokerage accounts: (<strong>Investments</strong> will be placed in the core account unless otherwise recorded below.)<br />

Direct the funds from my bank account to the following mutual funds:<br />

Direct funds from my core account to the following mutual funds:<br />

4 DIVIDEND AND CAPITAL GAINS DISTRIBUTIONS VIA ELECTRONIC FUNDS TRANSFER: FOR<br />

NONRETIREMENT MUTUAL FUND ACCOUNTS ONLY<br />

Check below to have your mutual fund dividends or dividends <strong>and</strong> capital gain distributions from your nonretirement<br />

Mutual Fund account in Section 1 sent directly to your bank:<br />

Dividends only Dividends <strong>and</strong> Capital Gains<br />

5 IMPORTANT INFORMATION ABOUT YOUR USE OF ELECTRONIC FUNDS TRANSFER (EFT)<br />

Privacy Statement:<br />

I underst<strong>and</strong> <strong>Fidelity</strong> Brokerage Services LLC (“<strong>Fidelity</strong>”) will disclose information to third parties about my account or the<br />

transfers I make:<br />

(i) Where it is necessary for completing transfers, or<br />

(ii) In order to verify the existence <strong>and</strong> condition of my account for a third party, such as a credit bureau, or merchant, or<br />

(iii) In order to comply with a government agency or court order, or<br />

(iv) If I give <strong>Fidelity</strong> my written permission, or<br />

(v) For other purposes in accordance with <strong>Fidelity</strong>’s privacy statement.<br />

Redemptions:<br />

I authorize <strong>Fidelity</strong> to accept <strong>and</strong> act upon any directions for redemptions of shares held in my eligible <strong>Fidelity</strong> account <strong>and</strong>/or<br />

<strong>Fidelity</strong> Mutual Fund account for payment to be made to the account I designated in my EFT authorization. I underst<strong>and</strong> <strong>and</strong><br />

agree that <strong>Fidelity</strong> will not be liable for any loss arising out of any telephone, Internet, or other electronic request for redemption<br />

so long as <strong>Fidelity</strong> transmits proceeds to the bank account I designate through my EFT authorization.<br />

Fees:<br />

There is no fee to use the EFT service, although my financial institution may charge transaction fees.<br />

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