is form is complete arid accurate to the beet knowkese of the undersigned; end ki) the undeisigra a Tspansoble lot the method Of llanSnananan or any ressth-Cus0nS Hated pursuant 10 this auth0rtulebn If the underconad elects to transmit any such Inanuntinos tae fax (including dattop fax) .61 emelt Or as en Imag