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Department: ________________________________________________

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Phone: ____________________________________________________
                                                                    9-1-1    Yes / No (Circle One)

Bio / Resume: ___________________________________________________________________________________

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Sponsor Info: _________________________________________________

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Choice Marketing
SportsCard Division

P.O. Box 4040 • Elwyn, PA 19063
www.choicemarketing.net
(610) 494-1270 • Fax: (610) 494-8074
1-800-999-CHOICE (2464)