Direction of Investment Form

Employer's Name

Your Name

Your Email Address

Your Address City State Zip

Choose one of the following three options     I would like a list of available investment options sent to me

I would like a list of my current investment elections sent to me       I would like to make the following investment elections       (Select one of the following. If no selection is made we will assume that your investment election change is for future contributions only)         This election is for all of my current balances and future contributions to my plan           This election is for future contributions only   IMPORTANT: Your elections MUST add up to 100% or your request can not be processed Fund Name   Fund %