Exhibit 99.3
Exhibit 99.3
Boston Properties
Computershare +
Computershare Trust Company, N.A.
250 Royall Street
Canton Massachusetts 02021
Telephone 888 485 2389
www.computershare.com
Name
Address
City, State, Zip
Holder Account Number
Use a black pen. Print in CAPITAL letters inside the grey areas as shown in this example. A B C 1 2 3 X
Direct Stock Purchase Plan - Direct Debit Authorization - Monthly
Dollar Amount:
Funds will be withdrawn on the 25th of the month or next business day. $ , . This plan allows for a minimum amount of $25 with a maximum of $10,000 per month.
Financial Institution Information
A. B.
Please select one. Individual Joint Other Please select one. Checking Account Savings Account
Financial institution account number Financial institution routing number
Note: DO NOT USE A CREDIT CARD. If you do not know your account number or the routing number, please see the reverse side of this form or check with your financial institution. Account numbers must be in numeric format.
Name(s) in which the above account is held
Note: If you are not currently enrolled in this company’s plan, by signing this form, you will automatically be enrolled in the plan for full dividend reinvestment. All your dividends will be used to purchase additional shares.
I/We hereby authorize Computershare to make automatic transfers of funds from the above account in the amount shown. This deduction will be used to purchase shares to be deposited into my/our account. All owners of the financial institution account must sign below.
Signature 1 - Please keep signature within the box. Signature 2 - Please keep signature within the box. Date (mm/dd/yyyy)
/ /
Daytime Telephone Number
Please return completed form to:
Computershare
PO BOX 43078
Providence RI 02940-3078
E 5 U E M D B X T +
00H3PA
How to complete this form
1. This company plan offers only monthly deductions. Check the box to confirm your agreement.
2. Amount of automatic deduction: Indicate the amount authorized to transfer from your account to purchase additional shares.
3. Indicate the type of account held with the financial institution.
4. Indicate checking or savings.
5. Print the complete financial institution account number.
6. Print the financial institution routing number from your check or savings deposit slip. If you are using a savings account, contact your financial institution for the routing number.
7. Print the name(s) in which the financial institution account is held.
8. All authorized owners of the financial institution account must sign this form.
SAMPLE CHECK
Name(s) in which account is held
John A. Doe
Mary B. Doe
123 Your Street
Anywhere , U.S.A. 12345 20 63-858 670
PAY TO THE ORDER OF $
Financial institution and branch information
Bank of Anywhere
123 Main Street
Anywhere, USA 12345
FOR SAMPLE (NON-NEGOTIABLE)
123456789 12345678901234567
Routing number Account number
00H3QA