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Use this form for specific account requests. If required, there is a designated section on this form for a
Medallion Signature Guarantee Stamp. Please print in capital letters and in black ink.
Please refer to the Harbor Funds Prospectus for a list of situations that require a Medallion Signature Guarantee,
or contact Shareholder Services at 800-422-1050. To obtain additional forms or to complete this form online, visit
us at www.harborfunds.com/forms.
Mail completed form to: Harbor Funds, P.O. Box 804660, Chicago, IL 60680-4108 (standard mail) or Harbor Funds,
111 South Wacker Drive, 34th Floor, Chicago, IL 60606-4302 (overnight delivery).
Printed Name
Signature
Account Number
Date (mm/dd/yyyy)
Signature
Account Number
Date (mm/dd/yyyy)
Relationship to Account
Relationship to Account