Transcription of SystematicPurch-Redemp Form 9-2011 - tweedy.com
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SystematicPurch-Redemp Form 9-2011 - tweedy.com
1-800-432-4789 Page 1 of 2 Tweedy, Browne Fund Inc. will transfer money via the Automated Clearing House (ACH) between your bank account and mutual fund account on a scheduled basis. If you have any questions or need assistance in completing this form, please call Shareholder Services at 1-800-432-4789. 1. Shareholder Information (Please provide information exactly as it appears on your Tweedy, Browne account.) Name of Registered Shareholder: Mailing Address: Street Address (if different from your Mailing Address): Daytime Phone #: ( ) Evening Phone #: ( ) Tweedy, Browne Account Number: 2. Please Select the Service You Wish to Establish (Please allow two weeks to establish service.) I (We) authorize Tweedy, Browne Fund Inc. to transfer money between my (our) bank account and my (our) Tweedy, Browne Fund Inc.
1-800-432-4789 Page 2 of 2 SYSTEMATIC PURCHASE/REDEMPTION FORM TWEEDY, BROWNE FUND INC. 4. Shareholder Signature(s) (Important: All registered shareholders must sign exactly as registered.)
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