By typing your name above, you testify that you entered all information on this form truthfully and to the best of your knowledge and belief. You certify that all members of the Finance Committee/Financial Trustees, the Secretary/Treasurer and President certify the information provided. You further understand that false information, omissions or misrepresentation of facts on this form is unethical. Furthermore, by typing your name above, you are electronically signing this form. The electronic signature will be in accordance with the E-Sign Act and will have the same force and effect as a wet signature. For information on the Electronic Signature in Global and National Commerce Act (E-Sign Act), please copy and paste this link into your browser: http://www.gpo.gov/fdsys/pkg/PLAW-106publ229/pdf/Plaw-106publ229.pdf.