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tn conalderation of delivery of my or Var mall to the agent nam will not forward my or our mail on a change of addres orde return of my of our mail in the responsidility of the agent: te the egent under this authorization must be prepaid with a NOTE: This application must be executed in duplicate by ap *~ signed copy will be kept on file by the egent in such sepresentatives, Meee) ee oe ‘AGENT CLERK IM, 334 RINCOW ANNEX o7. GA, 909 vo i seirees Jae PU name oooh Gabor whove mal te ta be HD.4. KISIS3! AAA C2GT7IITEESO ae thy ag eo 8) agree that: (1) the Post Office on term: age ‘itd oo fationshipe (2) the forwarding or all matt, including as Mem and other first class mail, Galivered * Raga, » ‘ . a the malls. agent or his authorized employee. A Be if a CORPORATION, give names and eddtresses of tte ofticers