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This document is an enrollment form for Harleysville's Dividend Reinvestment and Stock Purchase Plan, allowing participants to elect how they wish to reinvest dividends or receive cash payments.
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How to fill out dividend reinvestment and stock

How to fill out Dividend Reinvestment and Stock Purchase Plan Enrollment Form
01
Visit the company's investor relations website or request a copy of the Dividend Reinvestment and Stock Purchase Plan Enrollment Form.
02
Read the instructions accompanying the form carefully to understand the process.
03
Fill out your personal information, including your name, address, and account details.
04
Indicate the number of shares you wish to purchase or reinvest dividends into.
05
Review the payment options and select your preferred method for funding your purchase.
06
Sign and date the form to confirm your consent and understanding of the plan's terms.
07
Submit the completed form to the designated address or email provided in the instructions.
Who needs Dividend Reinvestment and Stock Purchase Plan Enrollment Form?
01
Investors who want to reinvest dividends automatically rather than receive them in cash.
02
New and existing shareholders looking to purchase additional shares in a cost-effective manner through a stock purchase plan.
03
Anyone interested in building their investment in a company over time without incurring broker fees.
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What is Dividend Reinvestment and Stock Purchase Plan Enrollment Form?
It is a form that allows shareholders to reinvest dividends in additional shares of stock and possibly purchase additional shares directly.
Who is required to file Dividend Reinvestment and Stock Purchase Plan Enrollment Form?
Shareholders who wish to participate in a dividend reinvestment plan and those who want to buy additional shares directly are required to file this form.
How to fill out Dividend Reinvestment and Stock Purchase Plan Enrollment Form?
Fill out the form by providing personal and account information, selecting options for reinvestment, and signing the form to authorize participation.
What is the purpose of Dividend Reinvestment and Stock Purchase Plan Enrollment Form?
The purpose is to enable shareholders to automate the reinvestment of dividends and simplify the process of purchasing additional shares of stock.
What information must be reported on Dividend Reinvestment and Stock Purchase Plan Enrollment Form?
The form typically requires personal information like name, address, social security number, number of shares owned, and preferences for dividend reinvestment.
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