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Distribution Request

About You Enough about us -- tell us more about you! From time to time, we will send information that may be of interest to you based on your distribution list preferences below. Name: Company Name: Street: City State: Zip: Phone Number: Fax Number: Is it okay to fax at night? Yes No E-mail Address: Your Securities Broker/Dealer: Preferred Method of Communication : E-mail Fax US Mail Please Put/Ke...

http://www.hermanagency.com/distribution.htm

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