Change of Broker/Dealer Form
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CHANGE OF BROKER/DEALER FORM Mutual Funds
TO: MFS SERVICE CENTER 500 BOYLSTON ST. BOSTON, MA 02116 1-800-343-2829
RE: ______(Fund Name)
______(Fund Account Number)
______(Shareholder Name)
______(Address)
Dear Shareholder Services:
Please make the following changes in designation of Broker/Dealer and Registered Representative of the above referenced account(s). This change does not otherwise alter the terms and provisions of my account. This change of dealer authorization will become effective on the date that you receive it.
NEW REPRESENTATIVE: NEW DEALER DESIGNATION: Feltl and Company ______P.O. Box 2980 Minneapolis, MN 55402
REP #:______
______(Signature of Investor) (Date) (Signature of Investor, if Joint Account) (Date)
ALL PARTIES LISTED ON THE ACCOUNT MUST SIGN.
Change of BD Form.doc 07/02/02