Regular mail: | Overnight mailing address: | ||||
| SS&C GIDS, Inc. | SS&C GIDS, Inc. | ||||
c/o HPS Corporate Capital Solutions Fund | c/o HPS Corporate Capital Solutions Fund | ||||
| PO Box 219980 | 801 Pennsylvania Ave, Suite 219980 | ||||
| Kansas City, MO 64121-7146 | Kansas City, MO 64105-1307 | ||||
Fax: (833) 864-1286 | |||||
Email: hcap@hpspartners.com | |||||
Fund Name: _______________________________________________________________________________ | ||
Fund Account #: ____________________________________________________________________________ | ||
Account Name/Registration: ___________________________________________________________________ | ||
Address: ___________________________________________________________________________________ | ||
City, State, Zip ______________________________________________________________________________ | ||
Telephone Number: __________________________________________________________________________ | ||
Email Address: ______________________________________________________________________________ | ||
Financial Intermediary Firm Name: ______________________________________________________________ | ||
Financial Intermediary Account #: _______________________________________________________________ | ||
Financial Advisor Name: ______________________________________________________________________ | ||
Financial Advisor Telephone #: _________________________________________________________________ | ||
| Signature | Print Name of Authorized Signatory (and Title if applicable) | Date | ||||||
| Signature | Print Name of Authorized Signatory (and Title if applicable) | Date | ||||||
Regular mail: | Overnight mailing address: | ||||
| SS&C GIDS, Inc. | SS&C GIDS, Inc. | ||||
c/o HPS Corporate Capital Solutions Fund | c/o HPS Corporate Capital Solutions Fund | ||||
| PO Box 219980 | 801 Pennsylvania Ave, Suite 219980 | ||||
| Kansas City, MO 64121-7146 | Kansas City, MO 64105-1307 | ||||
Fax: (833) 864-1286 | |||||
Email: hcap@hpspartners.com | |||||
Fund Name: _______________________________________________________________________________ | ||
Fund Account #: ____________________________________________________________________________ | ||
Account Name/Registration: ___________________________________________________________________ | ||
Address: ___________________________________________________________________________________ | ||
City, State, Zip ______________________________________________________________________________ | ||
Telephone Number: __________________________________________________________________________ | ||
Email Address: ______________________________________________________________________________ | ||
Financial Intermediary Firm Name: ______________________________________________________________ | ||
Financial Intermediary Account #: _______________________________________________________________ | ||
Financial Advisor Name: ______________________________________________________________________ | ||
Financial Advisor Telephone #: _________________________________________________________________ | ||
| Signature | Print Name of Authorized Signatory (and Title if applicable) | Date | ||||||
| Signature | Print Name of Authorized Signatory (and Title if applicable) | Date | ||||||