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EXHIBIT 99.1
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Friedman's Inc. Dividend Reinvestment Plan THIS IS NOT A PROXY
Authorization Card Check one Box Only - Please see reverse for a more
Please enroll me in the Dividend Reinvestment Plan of ------------------
Friedman's Inc. as indicated on this Authorization Form. complete explanation of plan options.
[-] A. Full Dividend Reinvestment -- I wish to reinvest all
cash dividends on all shares of Class A Common Stock
[Do not return this form unless you wish to (not less than 100 shares) now or hereafter registered
participate in the Plan] in my name in additional shares of such stock.
[-] B. Partial Dividend Reinvestment -- I wish to reinvest
dividends on _____ shares (not less than 100 shares)
of Class A or Class B Common Stock and receive cash
dividends on all other shares registered in my name.
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SIGNATURE
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SIGNATURE
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TAX I.D. (S.S.#) DATE
All registered holders must sign name exactly as shown above.
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ONLY STOCKHOLDERS OF RECORD OWNING AT LEAST 100 SHARES OF THE COMPANY'S CLASS A
OR CLASS B COMMON STOCK MAY PARTICIPATE IN THE PLAN. IF YOUR SHARES ARE
REGISTERED IN THE NAME OF A NOMINEE OR BROKER, YOU MAY ASK YOUR NOMINEE OR
BROKER TO EXECUTE THIS AUTHORIZATION CARD ON YOUR BEHALF. PLEASE CONTACT FIRST
UNION NATIONAL BANK FOR INSTRUCTIONS.
Completion of this form appoints First Union National Bank, Charlotte, North
Carolina, your agent and directs them to apply your cash dividends in accordance
with the option you have selected.
A. FULL DIVIDEND REINVESTMENT - This option directs the Company to pay First
Union National Bank, Charlotte, North Carolina, as Agent under the Plan, for
reinvestment in additional shares of Class A Common Stock all cash dividends on
all shares of Class A or Class B Common Stock now or hereafter registered in
your name, as well as cash dividends on all shares credited to your account
under the plan (less any amount required to be withheld for tax purposes under
any applicable law).
B. PARTIAL DIVIDEND REINVESTMENT - This option directs the Company to pay First
Union National Bank, Charlotte, North Carolina, as Agent under the Plan, for
reinvestment in additional shares of Class A Common Stock all cash dividends on
the number of shares of Class A or Class B Common Stock registered in your name
which is indicated on this form, and to remit to you all cash dividends on all
other shares registered in your name (less in each case any amount required to
be withheld for tax purposes under any applicable law).
Your participation is subject to the terms of the Prospectus describing the
Plan. You may withdraw or change your election by notifying First Union
National Bank, Charlotte, North Carolina in writing.
Please address all inquiries concerning the Plan to First Union National Bank,
Charlotte, North Carolina, Friedman's Inc. Dividend Reinvestment Plan,
Shareholder Services Group, 1525 West W.T. Harris Blvd. 3C3, Charlotte, North
Carolina 28288-1153 (Courier 28262-1153).
