ASSET MANAGEMENT FUND

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ASSET MANAGEMENT FUND

  1. 1. ASSET MANAGEMENT FUND Large Cap Equity New Account Application Please complete the New Account Application and return it to us by mail or fax. Note: the applications and check must be signed prior to submission. Regular Mail: Overnight Mail: Fax: 1-866-325-3625 AMF Funds AMF Funds Wire: Bank of New York P.O. Box 182407 3435 Stelzer Road ABA #021 000 018 Columbus, OH 43218-2407 Columbus, OH 43219 Large Cap Equity Fund A/C 8900403195 Questions? Call us at 800-247-9780 1. Class H Minimum investment is $50,000,000.00 AMF LARGE CAP EQUITY FUND $ H Fund Investment Amount Class Shares 2. Registration (Complete only one registration type) All information is required.) Important Information About Procedures For Opening a New Account To help the government fight the funding of terrorism and money laundering activities, Federal Law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: when you open an account, you are required to provide your name, residential address, date of birth, and social security number. We may require other information that will allow us to identify you. Individual or Joint Account Owner's Name (First) (MI) (Last) Social Security Number Date of Birth Joint Owner's Name * (First) (MI) (Last) Joint Owner's Social Security Number Joint Owner's Date of Birth (Joint accounts will be registered as joint tenants with rights of survivorship (JT WROS) Gift/Transfer to a Minor (UGMA/UTMA) Custodian's Name (First) (MI) (Last) Custodian's Social Security Number Custodian's Date of Birth Minor's Name * (First) (MI) (Last) Minor's Social Security Number Minor's Date of Birth
  2. 2.  Trust Corporation or Partnership  Retirement Plan  Other ______________________ If you checked "Retirement Plan," please indicate if this is a : 401(k) Profit-Sharing Plan  Money Purchase Pension Plan  Defined Benefit Plan Please include copy of Plan document Name of Trust, Corporation, Partnership or Plan Trustee, Plan Administrator or Authorized Signer's Name (First) (MI) (Last) Authorized Co-Signer's Name (First) (MI) (Last) __________________________ _______________________________ Trust Date (if applicable) Tax identification Number (Required) Additional Documentation for Trusts and Corporations (Referenced in Section 2) To help the government fight the funding of terrorism and money laundering activities, the Uniting and Strengthening America by Providing Appropriate Tools Required to Intercept and Obstruct Terrorism Act of 2001 (USA Patriot Act) requires all financial institutions to obtain, verify and record information that identifies each person or entity that opens an account. Additional documentation will be required for the following accounts> Trust - To open a trust account, the following documentation will be required: ● The first page and signature page of the trust agreement including notary stamp and seal. Corporation -To open an account for a corporation, please supply the following: ● Copy of the Corporate Resolution including authorized signatures with corporate seal. 3. Address Residential Address or Principal Place of Business (no P.O. boxes except A.P.O or F.P.O boxes) - must be located in United States. Street Address/APO or FPO Box/Apt. # City State Zip Daytime Phone Number Evening Phone Number E-Mail Address (Optional) Mailing Address (if different from above) Street Address/APO or FPO Box/Apt. # City State Zip Joint Owner's Street Address/APO or FPO Box/Apt. # (if different than above) Street Address/APO or FPO Box/Apt. # City State Zip
  3. 3. 4. Dividend Distribution Selection If you do not make a selection, dividends and capital gains will be reinvested. Dividends:  Reinvest  Cash Capital Gains  Reinvest  Cash  Send all dividends directly to my Bank (see Section 7) Send checks and make payable to:  Address of Record  Special Payee / Address (Complete below). Payee's Name (First) (MI) (Last) Street Address/APO or FPO Box/Apt. # City State Zip 5. To Purchase, exchange or redeem shares via telephone or written request For telephone orders, you may call 800-247-9780. Written requests should be submitted to Asset Management Fund, P.O. Box 182407, Columbus, OH 43218-2407 or faxed to 866-325-3625. Unless you check the box below your account will automatically be set up with telephone privileges.  I DO NOT want telephone privileges on my account 6. Systematic investments/withdrawals Systematic Investments (please complete Section 7) Initiate withdrawals from my bank account in the amount of $_________ (minimum $25) on the _________ day of:  each month or  quarterly Beginning _______________________________ Month of 1st Withdrawal Systematic Withdrawals (a check will be sent to the address of record unless otherwise specified in Section 7) Initiate redemptions in the amount of $_________ Beginning _______________________________ Month of 1st Redemption Specify Frequency of Redemptions  Monthly  Semi-Quarterly  Quarterly  Semi-Annually  Annually
  4. 4. 7. Bank Information Apply this bank information for:  Systematic Investments  Systematic Withdrawals  Cash Dividends  On Demand Purchases and Redemptions ____________________________________________ _________________________________________ Name of Bank or Trust Company ABA ____________________________________________ _________________________________________ Address Account Name ____________________________________________ _________________________________________ City State Zip Account # Please attach a copy of voided check or deposit slip. 8. Investment professional information Investment Professional Name (First) (MI) (Last) Broker-Dealer Name Address City State Zip Branch/Agency Number (if applicable) Investment Professional Number Phone Number X___________________________________________________________________ _________________________________ Investment Professional Signature Date
  5. 5. 9. Signature and Certification I certify, under penalties of perjury, that (1) my Social Security or employer identification number provided in this application is correct (or I am waiting for a number to be issued to me), (2) I am NOT subject to backup withholding because (a) I am exempt from backup withholding or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest and dividends or (c) the IRS has notified me that I am no longer subject to backup withholding and (3) I am a U.S. person (including a U.S. resident alien). Cross out item 2 if it does not apply to you. The IRS does not require your consent to any provision of this document other than the certification required to avoid backup withholding. I acknowledge that identifying information is required before the account can be opened and is subject to verification by my financial professional, the Fund or its agents. If verification is unsuccessful, Asset Management Fund may close my account, redeem my shares at the next NAV and take other steps it deems reasonable. I acknowledge that I have received and read the prospectus for the fund listed in Section 1. (Signatures for all registered owners must be included). X_____________________________________________________ _________________________________________ Signature of Owner (sign exactly as name appears in Section 2) Date X_____________________________________________________ ________________________________________ Signature of Joint Owner (sign exactly as name appears in Section 2) Date

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