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    FYE (Fiscal Year End) Month

    Billing Address (No PO Boxes)





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    Please Select Major Market Index (Required), Industry Index(es) and/or Peer Group (Required)

    Major Market Index:

    Published Industry Index:

    Additional Indexes (if desired)

    Click HERE to view a list of indexes

    Self-Constructed Peer Group (list all competitors and include tickers):

    Special Instructions:

    DELIVERY OPTION - Please Select (Required):

    GRAPH FORMAT - Please Select (Required)

    Standard Format - (Black & White Chart, Plot Point Table and Company Back-up Data in Excel Format)

    Enhanced Format - (Includes Standard Format with SEC Compliant Text and Full-Color Chart in both Excel and Word Format)

    Complete Annual Report /10-K Compliance Format - (Includes Enhanced Format, Quarterly Hi-Low Prices and monthly or quarterly updates tracking your company, Major Market, Industry and Peer Group performance as you move through your Shareholder and Board meeting cycles)

    Monthly or quarterly updates for the Complete Annual Report are optional and must be requested when placing your order. Please specify if you prefer monthly delivery or quarterly delivery. Quarterly updates are based on your fiscal year end and will be delivered after each fiscal quarter end. Monthly updates will be delivered after each month end.

    This Section Is For Companies Trading Less Than Five Years:

    As a recent IPO, please recognize our closing stock price of $ per share on our IPO Date of (mm/dd/yyyy) . (Please include the applicable "split-adjusted" price.)

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