Request to Opt Out of Email Address List for Director Election Voting
Full Name
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First Name
Last Name
Last Four Digits of Social Security Number or Tax ID
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(Used for identity verification only)
Email Address on File with AgSouth
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Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Opt-Out Request Statement
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I hereby request that my email address not be included in the shareholder list provided to candidates for director elections under FCA Regulation § 618.8310(b).
Consent to Process
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I certify that the information provided is accurate to the best of my knowledge and that I am an eligible AgSouth voting stockholder.
Submit
Should be Empty: