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Tagged Image File Format  |  1997-12-12  |  27.5 KB  |  2240x1272
   ocr: YES!I want to receive a subscription to Imaging Business. NO.Ido not want to receive a subscription to Imaging Business. * Date_ Signature (Signature and date required by U.S. Postal Service.) Title Name Joe Nitz LTAC - /nc. Director Company Address 1328 Durant Ave. 32430 City Phone 432 Evelne 675 State NY 432675 ZIP S58Y SF88 Fax 1A. What is your job function 2B. firm's What best primary describes your 3C. best Which describes one of the your following involvement or title? (Check only one) (Check only one) business? in the decision to resell a 01. A CEO, Director, President, GM Owner, 08. A ...