| % at TBD | | | % at $1,250 | | | % at $1,251 | |
| % at $1,252 | | | % at $1,253 | | | % at $1,254 | |
| % at $1,255 | | | % at $1,256 | | | % at $1,257 | |
| % at $1,258 | | | % at $1,259 | | | % at $1,260 | |
| % at $1,261 | | | % at $1,262 | | | % at $1,263 | |
| % at $1,264 | | | % at $1,265 | | | % at $1,266 | |
| % at $1,267 | | | % at $1,268 | | | % at $1,269 | |
| % at $1,270 | | | % at $1,271 | | | % at $1,272 | |
| % at $1,273 | | | % at $1,274 | | | % at $1,275 | |
| % at $1,276 | | | % at $1,277 | | | % at $1,278 | |
| % at $1,279 | | | % at $1,280 | | | % at $1,281 | |
| % at $1,282 | | | % at $1,283 | | | % at $1,284 | |
| % at $1,285 | | | % at $1,286 | | | % at $1,287 | |
| % at $1,288 | | | % at $1,289 | | | % at $1,290 | |
| % at $1,291 | | | % at $1,292 | | | % at $1,293 | |
| % at $1,294 | | | % at $1,295 | | | % at $1,296 | |
| % at $1,297 | | | % at $1,298 | | | % at $1,299 | |
| % at $1,300 | | | % at $1,301 | | | % at $1,302 | |
| % at $1,303 | | | % at $1,304 | | | % at $1,305 | |
| % at $1,306 | | | % at $1,307 | | | % at $1,308 | |
| % at $1,309 | | | % at $1,310 | | | % at $1,311 | |
| % at $1,312 | | | % at $1,313 | | | % at $1,314 | |
| % at $1,315 | | | % at $1,316 | | | % at $1,317 | |
| % at $1,318 | | | % at $1,319 | | | % at $1,320 | |
| % at $1,321 | | | % at $1,322 | | | % at $1,323 | |
| % at $1,324 | | | % at $1,325 | | | % at $1,326 | |
| % at $1,327 | | | % at $1,328 | | | % at $1,329 | |
| % at $1,330 | | | % at $1,331 | | | % at $1,332 | |
| % at $1,333 | | | % at $1,334 | | | % at $1,335 | |
| % at $1,336 | | | % at $1,337 | | | % at $1,338 | |
| % at $1,339 | | | % at $1,340 | | | % at $1,341 | |
| % at $1,342 | | | % at $1,343 | | | % at $1,344 | |
| % at $1,345 | | | % at $1,346 | | | % at $1,347 | |
| % at $1,348 | | | % at $1,349 | | | % at $1,350 | |
| % at $1,351 | | | % at $1,352 | | | % at $1,353 | |
| % at $1,354 | | | % at $1,355 | | | % at $1,356 | |
| % at $1,357 | | | % at $1,358 | | | % at $1,359 | |
| % at $1,360 | | | % at $1,361 | | | % at $1,362 | |
| % at $1,363 | | | % at $1,364 | | | % at $1,365 | |
| % at $1,366 | | | % at $1,367 | | | % at $1,368 | |
| % at $1,369 | | | % at $1,370 | | | % at $1,371 | |
| % at $1,372 | | | % at $1,373 | | | % at $1,374 | |
| % at $1,375 | | | % at $1,376 | | | % at $1,377 | |
| % at $1,378 | | | % at $1,379 | | | % at $1,380 | |
| % at $1,381 | | | % at $1,382 | | | % at $1,383 | |
| % at $1,384 | | | % at $1,385 | | | % at $1,386 | |
| % at $1,387 | | | % at $1,388 | | | % at $1,389 | |
| % at $1,390 | | | % at $1,391 | | | % at $1,392 | |
| % at $1,393 | | | % at $1,394 | | | % at $1,395 | |
| % at $1,396 | | | % at $1,397 | | | % at $1,398 | |
| % at $1,399 | | | % at $1,400 | | | | |
Phone Number : |
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Signature
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Date
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请用印刷体清楚地填写姓名
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Social Security Number
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Daytime Phone Number
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按头等舱、挂号票或
Certified Mail: |
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By Express or Overnight
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ComputerShare Trust Company,N.A.,
Depositary c/o自愿企业行动 PO Box 43011 Providence, Rhode Island 02940-3011 |
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ComputerShare Trust Company,N.A.,
Depositary c/o自愿企业行动 150 Royall Street, Suite V Canton, Massachusetts 02021 |
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