| | | Complete below if you wish to have proceeds sent to an address or instructions not on file or to have the check delivered to the Custodian’s address. If you complete this section a Medallion Signature Guarantee is required. | | |
| | | Complete below if you wish to have proceeds wired to you, the Custodian. If you complete this section a Medallion Signature Guarantee is required. | | |
| |
Registered Name:
|
|
| |
Your Bank Account Information (where funds are to be sent):
|
|
| |
Bank Account Registration:
|
|
| |
Bank Account Number/IBAN:
|
|
| |
Bank Name:
|
|
| |
Bank Address 1:
|
|
| |
Bank Address 2:
|
|
| |
Bank Address 3:
|
|
| |
ABA/SWIFT/BIC/Sort Code/BSB:
|
|
| |
Bank Local Code (if applicable):
|
|
| |
Intermediary Bank Information (if applicable):
|
|
| |
Bank Name:
|
|
| |
Bank Address 1:
|
|
| |
Bank Address 2:
|
|
| |
Bank Address 3:
|
|
| |
ABA/SWIFT/BIC/Sort Code/BSB:
|
|
| | Signature: Medallion Guarantee: | |
| | Name: | | | (Please Print) | |
| | Name of Firm: | | | ||
| | | | | ||
| | | SIGN HERE TO TENDER YOUR SHARES | | |
| | |
Medallion Signature Guarantee
|
| |
| | | Only required if not the registered holder is not executing Letter of Transmittal or if issuing out payment in another name than the registered holder. Each signature must be separately medallion signature guaranteed. A notarization is not acceptable. | | |
| | | IMPORTANT; CUSTODIAN SIGNATURE: If your Shares are held through a broker, dealer, commercial bank, trust company, custodian or other nominee, you must mail this Letter of Transmittal to the broker, dealer, commercial bank, trust company, custodian or other nominee in the account registration for their signature below under “Custodian Signature.” | | |
| | | | | |
| | | Guarantor: Affix signature guarantee here. | | |
| | | | | |
| | |
THE OFFER, PRORATION PERIOD AND WITHDRAWAL RIGHTS WILL EXPIRE
AT 5:00 P.M., NEW YORK CITY TIME, JUNE 29, 2018 UNLESS EXTENDED OR WITHDRAWN. |
| |
| |
By Registered, Certified or Express Mail:
Computershare Trust Company, N.A. c/o Voluntary Corporate Actions P.O. Box 43011 Providence, RI 02940 |
| |
By Overnight Courier:
Computershare Trust Company, N.A. c/o Voluntary Corporate Actions 250 Royall Street Suite V Canton, MA 02021 |
|