SystematicPurch-Redemp Form 9-2011 - tweedy.com

1 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.

2 Account as follows: Select Frequency:* Twice a Month | starting on the _____ and _____ days of _____. Day Day Month Monthly | starting on the _____ day of _____. Day Month Quarterly | starting on the _____ day of _____. Day Month * Systematic Purchase/Redemption Plan transactions will take place on any day of your choice. Should that day fall on a weekend or holiday, transactions will take place on the closest prior business day. Select Fund(s) and Indicate Dollar Amount of Scheduled Purchase or Redemption: Tweedy, Browne Global Value Fund Purchase $ _____ ($200 minimum) Redeem $ _____ Tweedy, Browne Global Value Fund II Currency Unhedged Purchase $ _____ ($200 minimum) Redeem $ _____ Tweedy, Browne Value Fund Purchase $ _____ ($200 minimum) Redeem $ _____ Tweedy, Browne Worldwide High Dividend Yield Value Fund Purchase $ _____ ($200 minimum) Redeem $ _____ On Demand Purchases ($200 minimum) and Redemptions | Enables you to transfer money between your bank account and your Tweedy, Browne Fund account by toll free telephone on any business day.

3 3. Bank Account Information** (Please be sure that your bank is a member of the Automated Clearing House (ACH) Network.) Name of Bank: Name of Account: Bank Address: Bank ABA/Routing Number: Account Number: Branch Phone #: ( ) Type of Account: Checking Savings IMPORTANT Please attach a void check to verify bank information ** If the shareholder s name in Section 1 does not match the name on the bank account listed in Section 3 (including spellings, abbreviations and initials), all registered shareholders of the account must have their signatures guaranteed. See Section 5 on the next page of this form. 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.)

4 I (We) authorize Tweedy, Browne Fund Inc., upon telephonic request, to pay amounts representing redemption(s) made by me (us) or to secure payments of amounts invested by me (us) by initiating credit or debit entries to my (our) account at the bank I (we) have indicated. I (We) authorize the bank to accept any such credits or debits to my (our) account without responsibility for the correctness thereof. I (We) further agree that Tweedy, Browne Fund Inc. will not be held accountable for any loss, liability, cost, or expense for acting upon my (our) telephonic instructions. It is understood that this authorization may be terminated by me (us) at any time by written notification to Tweedy, Browne Fund Inc. and to the bank. The termination request will be effective as soon as Tweedy, Browne Fund Inc. has had a reasonable amount of time to act upon it.

5 Sign Below X / / Authorized Signature of Registered Shareholder Date: X / / Authorized Signature of Registered Shareholder if Joint Account Date: 5. Medallion Signature Guarantee (If applicable.) If your bank account registration does not exactly match the registration of all of the accounts you have listed (including spellings, abbreviations and initials), all registered shareholders must have their signatures guaranteed below. You can obtain a medallion signature guarantee from a domestic bank or trust company, broker, dealer, clearing agency, savings association, or other financial institution which is participating in a medallion program recognized by the Securities Transfer Association. The three recognized medallion programs are Securities Transfer Agents Medallion Program (STAMP), Stock Exchanges Medallion Program (SEMP) and New York Stock Exchange, Inc.

6 Medallion Signature Program (NYSE MSP). Signature guarantees from financial institutions which are not participating in one of these programs will not be accepted. It is imperative that the proper prefix and ink be used by the institution affixing the medallion signature guarantee in order to process your request. Sign Below X / / Authorized Signature of Registered Shareholder Date: X / / Authorized Signature of Registered Shareholder if Joint Account Date: Mail to: For delivery via overnight courier only: Tweedy, Browne Fund Inc. Tweedy, Browne Fund Inc. Box 9805 4400 Computer Drive Providence, RI 02940-8005 Westborough, MA 01581-1722 Authorized Officer to Place Medallion Signature Guarantee Stamp Her