EXHIBIT 99.2
MIDDLESEX WATER COMPANY
Subsidiaries and Affiliates
DIVIDEND REINVESTMENT AND COMMON STOCK PURCHASE
EMPLOYEE
AUTHORIZATION FORM FOR PAYROLL DEDUCTION
THE MIDDLESEX WATER COMPANY IS HEREBY AUTHORIZED TO WITHHOLD THE AMOUNT INDICATED BELOW FROM MY PAYCHECK WEEKLY.
$_____________
EMPLOYEE NAME ___________________________________
EMPLOYEE ADDRESS ______________________________________
________________________________________________________________
SOCIAL SECURITY NUMBER _____________________________
Date of birth___________________(Must be 21 to participate)
SIGNATURE _________________________DATE ___________________
Minimum payroll deduction of $5 weekly
Maximum of $100 weekly
Employees on Bi-Weekly payroll will have twice the amount listed above withheld.