TO BE COMPLETED BY ALL INVESTORS. I. EITHER: (Please initial the appropriate alternative.) _____ 1. I have such knowledge and experience in financial and business matters that I am capable of evaluating the merits and risks of an investment in the Shares and do not desire to utilize a Purchaser Representative in connection with evaluating such merits and risks. I understand, however, that the Company may request that I use a Purchaser Representative. _____ 2. *I intend to use the services of the following named person as Purchaser Representative in connection with evaluating the merits and risks of an investment in the Shares and hereby appoint such person to act as my Purchaser Representative in connection with my proposed purchase of the Shares: List name of Purchaser Representative and phone number(s): Name: Office Phone: (NOTE: REPRESENTATIVES OF THE COMPANY MAY NOT SERVE AS PURCHASER REPRESENTATIVES.) *If this alternative is initialed, a completed and signed Purchaser Representative Questionnaire (which may be obtained from the Company) must accompany this Investor Questionnaire. I represent that
TO BE COMPLETED BY ALL INVESTORS. INVESTOR INFORMATION Client Name Joint Client Name (if applicable) DEALER/REPRESENTATIVE INFORMATION 2 Dealer Name Dealer Code Representative Name Rep Code INVESTMENT INSTRUCTIONS Fund Code Fund Name Investment Amount Distributions Reinvest Cash FUND CODE AND FEE INFORMATION 4 Series Fund Code (CAD) Management Fee (% Annually) Administration Fee (% Annually) Investment Advisory Services Fee (% Annually)* F 3924 2.00 0.20 N/A F - ADM 5002 2.00 0.20 PF 3925 1.85 0.20 N/A PF - ADM 5070 1.85 0.20 O 3881 2.05 N/A N/A * Subject to applicable taxes. For Series F and PF investors that do not hold their securities in a fee based or wrap program where they pay their fees directly to their dealer. The Investment Advisory Services Fee is payable to your dealer and is negotiable subject to a maximum of 1.50% annually (excluding taxes). ACCOUNT LINKING SERVICE (OPTIONAL) 5 Xxxxxxxx Xxxxxxxxx Account Number Dealer / Intermediary Account Number Name of Account Holder
