COUPON COUPON COUPON COUPON

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					                                                                                                                  PAYMENT
                                                                     COUPON                                       GIFT
NAME                            GIFTOR ONLY      ACCOUNT OWNER: Jennifer Ann Bahneman                             ACCOUNT NUMBER:
                                                 STUDENT BENEFICIARY: COHEN BAHNEMAN                              05004174
                                                 PAYMENT PLAN:
STREET ADDRESS                                   If you are making a GIFT purchase and are not the Account
                                                                                                                  ADDITIONAL LUMP SUM
                                                 Owner on this GET account, please check the GIFT box to the
                                                                                                                  UNITS PURCHASE        $
                                                 right and provide your contact information in the boxes to the
CITY / STATE / ZIP CODE
                                                 left.                                                            CUSTOM MONTHLY PLAN
                                                                                                                  PAYMENT               $
E-MAIL ADDRESS            TELEPHONE NUMBER (S)
                                                 Please write the GET Account Number on your check and
                                                 send to: GET, PO BOX 84824, SEATTLE WA 98124-6124                TOTAL AMOUNT PAID     $




                                                                                                                  PAYMENT
                                                                     COUPON                                       GIFT
NAME                            GIFTOR ONLY      ACCOUNT OWNER: Jennifer Ann Bahneman                             ACCOUNT NUMBER:
                                                 STUDENT BENEFICIARY: COHEN BAHNEMAN                              05004174
                                                 PAYMENT PLAN:
STREET ADDRESS                                   If you are making a GIFT purchase and are not the Account
                                                                                                                  ADDITIONAL LUMP SUM
                                                 Owner on this GET account, please check the GIFT box to the
                                                                                                                  UNITS PURCHASE        $
                                                 right and provide your contact information in the boxes to the
CITY / STATE / ZIP CODE
                                                 left.                                                            CUSTOM MONTHLY PLAN
                                                                                                                  PAYMENT               $
E-MAIL ADDRESS            TELEPHONE NUMBER (S)
                                                 Please write the GET Account Number on your check and
                                                 send to: GET, PO BOX 84824, SEATTLE WA 98124-6124                TOTAL AMOUNT PAID     $




                                                                                                                  PAYMENT
                                                                     COUPON                                       GIFT
NAME                            GIFTOR ONLY      ACCOUNT OWNER: Jennifer Ann Bahneman                             ACCOUNT NUMBER:
                                                 STUDENT BENEFICIARY: COHEN BAHNEMAN                              05004174
                                                 PAYMENT PLAN:
STREET ADDRESS                                   If you are making a GIFT purchase and are not the Account
                                                                                                                  ADDITIONAL LUMP SUM
                                                 Owner on this GET account, please check the GIFT box to the
                                                                                                                  UNITS PURCHASE        $
                                                 right and provide your contact information in the boxes to the
CITY / STATE / ZIP CODE
                                                 left.                                                            CUSTOM MONTHLY PLAN
                                                                                                                  PAYMENT               $
E-MAIL ADDRESS            TELEPHONE NUMBER (S)
                                                 Please write the GET Account Number on your check and
                                                 send to: GET, PO BOX 84824, SEATTLE WA 98124-6124                TOTAL AMOUNT PAID     $




                                                                                                                  PAYMENT
                                                                     COUPON                                       GIFT
NAME                            GIFTOR ONLY      ACCOUNT OWNER: Jennifer Ann Bahneman                             ACCOUNT NUMBER:
                                                 STUDENT BENEFICIARY: COHEN BAHNEMAN                              05004174
                                                 PAYMENT PLAN:
STREET ADDRESS                                   If you are making a GIFT purchase and are not the Account
                                                                                                                  ADDITIONAL LUMP SUM
                                                 Owner on this GET account, please check the GIFT box to the
                                                                                                                  UNITS PURCHASE        $
                                                 right and provide your contact information in the boxes to the
CITY / STATE / ZIP CODE
                                                 left.                                                            CUSTOM MONTHLY PLAN
                                                                                                                  PAYMENT               $
E-MAIL ADDRESS            TELEPHONE NUMBER (S)
                                                 Please write the GET Account Number on your check and
                                                 send to: GET, PO BOX 84824, SEATTLE WA 98124-6124                TOTAL AMOUNT PAID     $

				
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