Employee Benefit Portal Registration

I acknowledge that I have read the “Notice of Electronic Disclosure” and understand that I am entitled to withdraw or change my consent. I consent to the electronic disclosure of all Employee Benefit notices, including Summary Plan Descriptions and plan amendments. I understand that I can receive a paper copy of all Employee Benefit notices, including Summary Plan Descriptions and plan amendments, upon request at no charge. I also confirm that I have the ability, necessary equipment and software to access the Employee Benefits Internet or company intranet sites, to view the documents and print copies. By submitting this document, I agree to be notified of employee benefit notices via e-mail. My signature below serves as valid authorization to receive Employee Benefit notices electronically. My signature below serves as an agreement to the terms of the Electronic Disclosure policy.