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The following Client Instruction to Buy Form is provided by Fidelity as a template for Advisers to use with their clients. It represents an authority from the investor to the Adviser to arrange the opening of a FundsNetwork investment on the investor's behalf. As such, it is issued by the Adviser firm and must be approved by Adviser firm's compliance officer prior to issue.
Fidelity does not intend to prescribe the content or layout of this form and each Adviser firm retains the responsibility for the control of this form. Fidelity makes no guarantee as to its legality or effectiveness and accepts no liability for its use. In downloading and using this form, each Adviser agrees to the the following declaration:
"I confirm I will ensure the form is approved by my firm's Compliance Officer before issue and I accept full responsibility for the form's use in either its original or any amended format I choose to issue".
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