EXHIBIT 4.4 AUTHORIZATION TO PARTICIPATE IN THE AUTOMATIC DIVIDEND REINVESTMENT AND STOCK PURCHASE PLAN FOR STOCKHOLDERS OF LAKELAND BANCORP, INC. To: First City Transfer Company Plan Administrator This will confirm that I have received the Prospectus describing the Lakeland Bancorp, Inc. Automatic Dividend Reinvestment and Stock Purchase Plan (the "Plan"). I wish to participate in the Plan and I hereby appoint you as my agent and authorize Lakeland Bancorp, Inc. ("Lakeland") to pay to you for my account all dividends payable to me on all shares of Lakeland's Common Stock that are now or hereafter registered in my name. I authorize you to apply all such dividends received by you and all optional cash payments which I transmit to you to the purchase of full and fractional shares of Lakeland Common Stock pursuant to the Plan. I understand that your appointment as my agent is subject to the terms and conditions of the Plan set forth in the Prospectus describing the Plan. I further understand that dividends will be invested on all shares held in my Plan account, subject to the termination provisions described in the Plan. THIS IS NOT A PROXY (Please sign on the reverse side of this card) If you desire to participate in the Lakeland Bancorp, Inc. Automatic Dividend Reinvestment and Stock Purchase Plan, please sign and return this card to: First City Transfer Company Dividend Reinvestment Plan P.O. Box 170 Iselin, New Jersey 08830 Dated: ___________, _____ Please mark, sign, date and return using the enclosed envelope Account Number: ______________________ ______________________________________ Please print name/names ______________________________________ Signature ______________________________________ Signature if held jointly ______________________________________ Social Security or Tax Identification Number Please sign exactly as your name appears hereon THIS IS NOT A PROXY