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INSTITUTIONAL ACCOUNT APPLICATION
The Xxxxxx Funds [LOGO]
For assistance call: (000)000-0000
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STEP 1 REGISTER YOUR ACCOUNT (Please choose one)
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PLEASE TYPE OR PRINT CLEARLY
Account Registration ---------------------------------- ----------------------------------
Name of Organization or Individual Tax Identification Number
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TYPE OF ORGANIZATION TYPE OF PLAN OR ACCOUNT
/ / Cooperation / / 401(k) / / Investment Account
/ / Unincorporated Association / / Profit Sharing / / Endowment Foundation
/ / Partnership / / Money Purchase Pension / / Other--------------------
/ / Nominee / / Deferred Benefits / / Approximate number of participants if a retirement plan ------
/ / Other --------------------
/ / Trust
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Trustee's Name Date of Trust
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Name of Trust Agreement
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STEP 2 MAILING ADDRESS
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( ) ( )
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Xxxxxx Xxxxxxx Xxx./Xxxxx # Xxxxxxx Telephone Evening Telephone
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City State Zip Electronic Mail Address
Citizenship: / / US Citizen / / Non-Resident Alien
/ / Resident Alien / / County of Tax Residency ---------------- ( )
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Fax No.
FOR DUPLICATE STATEMENTS PLEASE FILL OUT STEP 10.
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STEP 3 FUND SELECTION
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Fund Name (fund code) Minimum Initial Your Initial Investment Method
Investment Investment
Xxxxxx 100 Fund (41) ........................................ $500 .......... $-----------
Xxxxxx Growth and Income Fund (44) .......................... $500 .......... $-----------
Xxxxxx Small Company Growth Fund (345) ...................... $500 .......... $----------- / / By Check
Xxxxxx New Generation Fund (344) ............................ $1,000 .......... $----------- Make Checks payable
Xxxxxx/BIAM International Fund (349) ........................ $2,000 .......... $----------- to: The Xxxxxx Funds
Xxxxxx/BIAM International Institutional Fund (659) .......... $100,000 .......... $-----------
Xxxxxx/BIAM International CORE Fund (660) ................... $1,000,000 .......... $----------- / / By Wire
Cash Account Trust (CAT)* Call 0-000-000-0000
Money Market Portfolio (346) ................................ $1,000 .......... $----------- for more information.
Government Securities Portfolio (347)........................ $1,000 .......... $-----------
Tax-Exempt Portfolio (348) .................................. $1,000 .......... $-----------
*Cash Account Trust is a separately managed, unaffiliated money market mutual fund. Use of the Cash Account Trust as an
investment directly or by exchange from your Xxxxxx Funds does not constitute an offering or recommendation of the CAT
portfolios by the Xxxxxx Funds or their advisors.
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STEP 4 FOR DEALER USE ONLY
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Please print clearly or type
When opening your
account through a -----------------------------------------------------------------------------------------------------------
representative, have Company Dealer/Branch/Rep Numbers Branch and Region Number (if applicable)
him/her complete
this section. -----------------------------------------------------------------------------------------------------------
Address
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Representative Name Rep # Daytime Phone Number
Authorized Signature ------------------------------------------------
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STEP 5 DISTRIBUTION OPTIONS
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All income and capital gains distributions will be reinvested UNLESS you check the box(es) below:
/ / Pay all income in cash / / Pay all capital gains in cash
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STEP 6 TELEPHONE TRANSACTION/ON-LINE COMPUTER ACCESS PRIVILEGES
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The privileges below allow you to make telephone/on-line purchases, exchanges and redemptions, subject to applicable minimums and
maximums that are disclosed in the Prospectus (Step 7 must be completed.)
Telephone Transaction Privileges are available on all accounts unless you specifically decline them below:
/ / We decline the use of telephone transaction privileges
On-line Computer Access Privileges are available on all accounts unless you specifically decline below.
/ / We decline the use of on-line computer access.
All telephone and on-line transactions are recorded and written confirmations indicating the details of all telephone and on-line
transactions will be promptly sent to the shareholder of record. Prior to placing an order the shareholder may be required to
provide certain identifying information. See the Prospectus for further information.
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STEP 7 BANK INFORMATION
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------------------------------------------------- Your bank account information must be on file in order to settle by
Name of Bank Name(s) on Bank Account wire or electronic funds transfer any purchase or redemption transac-
tions made by telephone or by on-line computer access. The account
------------------------------------------------- names at left must exactly match at least one name in Step 1. Any co-
Street Address Bank Account Number signer of your checking or savings account who is not a joint owner of
the funds must authorize these services by signing at left.
------------------------------------------------- Checking Acct. / / Savings Acct. / /
City State Zip Please attach a voided check or savings deposit slip.
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Bank Telephone Bank Address
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Co-xxxxxx Signature (if applicable) Date
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STEP 8 PERSONS AUTHORIZED TO CONDUCT TRANSACTIONS
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List names and ???????? of all individuals authorized by governing documents with respect to shares registered or instructed by
the application.
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Name (Please print) Title Signature Date
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Name (Please print) Title Signature Date
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Name (Please print) Title Signature Date
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Name (Please print) Title Signature Date
NOTE: A corporation or a trust with a bank or trust company as trustee must attach a copy of the corporate resolution
designating those individuals who are authorized to direct transactions on this account. If a bank or trust company
is serving as agent or custodian, attach a copy of the custodial agreement as well.
The signatures of at least -----* of the authorized signers are required by the applicable governing documents to convert,
redeem or transfer shares of the Xxxxxx Funds and to execute and deliver any instrument necessary to effect such authority.
Xxxxxx Funds may rely on the authority of the named individuals until it receives written notification to the contrary.
*Please specify number. If left blank, the Xxxxxx Funds will assume that only one signature is required.
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STEP 9 SIGNATURES
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- For a corporate account, a vice president or above must - For an unincorporated association, two officers must
sign and state his or her title. sign and state their titles.
- For a bank or trust company, a vice president or above - For a general partnership, one partner must sign with the words
must sign and state his or her title. "general partner" following his or her signature; for a limited
partnership, the managing or general partner must sign.
All of the undersigned represent that they have the authority and legal capacity to purchase mutual fund shares, all are of
legal age in their state and believe each investment is suitable for themselves. All of the undersigned have received and read
the Prospectus for the investment selected, agree to its terms and agree that by signing below (a) their account will have
exchange privileges with other Xxxxxx Funds and the portfolios of the Cash Account Trust ("CAT") and that all information
provided in the above steps will apply to any Fund or CAT portfolio into which their shares may be exchanged; (b) they hereby
ratify any instructions given on this account and any account into which they exchange related to the above steps and agree that
neither the Funds, CAT portfolios, Xxxxxx Associates nor BBOI Worldwide will be liable for any loss, cost or expense for acting
upon such instructions (by telephone, computer on-line access or writing) believed to be genuine and in accordance with the
procedures described in the Prospectus; and (c) their responsibility is to read the Prospectus of any Fund or CAT portfolio into
which they exchange.
Under penalties of perjury, I certify:
(1) The number shown on this form is my correct social security or taxpayer identification number and
(2) I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by
the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or
dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding.
The Internal Revenue Service does not require your consent to any provision of this document other than the certifications
required to avoid backup withholding.
/ / Check this box only if the IRS has notified you that you are subject to backup withholding.
Individual or Custodial Accounts Corporations, Partnerships, Trusts, etc.
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Signature of Individual or Custodian Date Signature Title Date
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Signature of Individual or Custodian Date Signature Title
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STEP 10 ADDITIONAL DUPLICATE STATEMENTS ONLY
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Not for use for 12b-1 Fees
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Company Name Assumption
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Address Phone Number
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City State Zip
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