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									REFERENCE RELEASE FORM

I hereby grant permission to the DQS to check the following
references:

Reference Contact Name:    Name of Organization:         Telephone Number:




I understand that any information obtained from the aforementioned
names or organizations may be used as documentation when making
the final selection decision.



Signature: ________________________________________________

Date:_________________________________________________



Fax Number 443-637-1349 Deborah Teare

								
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