Exhibit 4.2 I WISH TO PARTICIPATE IN THE AUTOMATIC DIVIDEND REINVESTMENT AND COMMON STOCK PURCHASE PLAN ON THE FOLLOWING BASIS: 1. [ ] Automatic dividend reinvestment. and/or 2. [ ] Optional cash payments. (A check must be submitted with this form.) Signatures of all registered owners. Please date and sign as your name(s) appear on this form. ________________________________________ (Shareholder) ________________________________________ (Shareholder) Date_____________________________ 19___