Please note:
UBS AG does not accept any kind of business and financial transaction orders through this form, e.g. payment orders, trading orders for securities, opening of accounts or address changes.
Please be informed that this form will be transmitted to UBS AG electronically via the Internet. Your information and data will be sent in an unencoded and thus insecure way which in principle allows any third party to read it. The Internet is a globally open network. Transmitted information can cross geographic borders, even if both sender and recipient have their domicile in the same country. You can print the form and send it to:
UBS AG
Investor Relations
P.O. Box
CH-8098 Zurich
Switzerland
Fax +41-1-234 34 15