PLEASE FILL OUT FORM

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					           PLEASE FILL OUT FORM
                                       COPIES
DATE: ____________________    REQUESTED BY:______________________

DATE COPIES ARE NEEDED: ________________ NUMBER OF COPIES NEEDED: __________

CHECK INTRUCTIONS:

______ COLATED               ______ ONE SIDED TO TWO SIDED   ______ REDUCED

______ STAPLED               ______ ISBACK TO BACK           ______

______ NO STAPLES            ______ AS IS



FURTHER INSTRUCTIONS:




           PLEASE FILL OUT FORM
                                        COPIES
DATE: ____________________    REQUESTED BY:______________________

DATE COPIES ARE NEEDED: ________________ NUMBER OF COPIES NEEDED: __________

______ COLATED               ______ ONE SIDED TO TWO SIDED   ______ REDUCED

______ STAPLED               ______ IS BACK TO BACK          ______

______ NO STAPLES            ______ AS IS



FURTHER INSTRUCTIONS: