SPECIAL DELIVERY INSTRUCTIONS. If checks or certificates representing shares of Community Common Stock are to be delivered to someone other than the registered holder(s) or to the registered holder(s) at an address other than that appearing above, please check the appropriate box in “Special Delivery Instructions” and insert the appropriate address in the space provided on this Election Form.
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Samples: Merger Agreement (Community Bank Shares of Indiana Inc), Merger Agreement (Community Bank Shares of Indiana Inc), Merger Agreement (Community Bank Shares of Indiana Inc)
SPECIAL DELIVERY INSTRUCTIONS. If checks or certificates representing shares of Community MainSource Common Stock are to be delivered to someone other than the registered holder(s) or to the registered holder(s) at an address other than that appearing above, please check the appropriate box in “"Special Delivery Instructions” " and insert the appropriate address in the space provided on this Election Form.
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