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EFTA00169398.pdf PDF

DataSet-9 EFTA00169398 16 pg

AUTHORIZATION OF POWER OF ATTORNEY For Natural/Individual Persons For Brokerage Accounts and/or retirement accounts with DBSI This Authorization/Power of Attorney constitutes a non-durable limitedpower of attorney, designed to give a person or persons designated by you…

EFTA00313907.pdf PDF

DataSet-9 EFTA00313907 1 pg

AUTHORIZATION FORM Please fill out and sign the Authorization form in printed letters, attach passport copy, the credit card copy of both sides, and bank confirmation with the stamp that the card belongs to the person signing the agreement, send…

EFTA00169758.pdf PDF

DataSet-9 EFTA00169758 11 pg

AUTHORIZATION OF POWER OF ATTORNEY —71/1-Vet tile/ *- For Natural/Individual Persons Far Brokerage Accounts end/or retirement accounts with DBSI This Authorization/Power of Attorney constitutes a non-d…

EFTA00169414.pdf PDF

DataSet-9 EFTA00169414 11 pg

AUTHORIZATION OF POWER OF ATTORNEY inhajAk For Natural/Individual Persons For Brokerage Accounts and/or retirement accounts with OBSI This Authorization/Power of Attorney constitutes a non-durable limitedpower of attorney, designed to give a perso…

EFTA00165940.pdf PDF

DataSet-9 EFTA00165940 11 pg

AUTHORIZATION OF POWER OF ATTORNEY tart ia-Cd -0-- For Natural/Individual Persons For Brokerage Accounts and/or retirement accounts with DE351 This Authorization/Power of Attorney constitutes a non-durable l…

EFTA00165888.pdf PDF

DataSet-9 EFTA00165888 9 pg

AUTHORIZATION OF POWER OF ATTORNEY For Natural/Individual Persons For Brokerage Accounts and/or retirement accounts with DBSI This Authorization/Power of Attorney constitutes a non-durable limitedpower of attorney, designed to give a person or persons designated by you…

EFTA00794013.pdf PDF

DataSet-9 EFTA00794013 2 pg

Authorization to Disclose Protected Health Information Name: Address: Date of Birth: Soc. Sec. # I hereby authorize the use and/or disclosure of my protected health information as described in this authorization. 1. Specific person/organization (or class of persons) authorized…

EFTA01071103.pdf PDF

DataSet-9 EFTA01071103 11 pg

tip AUTHORITYNUTRITION _ An Evidence-Based Approach — 10 Proven Health Benefits of Eggs (No. 1 is My Favorite) If you are like me, eggs are probably part of your breakfast. Good news, because eggs are among the few foods that I…

EFTA00295604.pdf PDF

DataSet-9 EFTA00295604 2 pg

CHARGE AUTHORIZATION AND INSURANCE AGREEMENT Reservation Quote No: Arrival Date: 1226/2015 Cancellations received more than 60 days prior to arrival will be assessed $100 per person plus any fees assessed by the lodging establishment and other vendors. If notice…

EFTA01242465.pdf PDF

DataSet-9 EFTA01242465 1 pg

Agent Authorization 1D Ameritrade Limited to Account Inquiry PO Box 2760 • Omaha, NE 68103-2760 Fax: 866-468-6268 This form only grants the ability to inquire about account status, transfers, positions or balances. The undersigned hereby authorizes Authorized Agent…

EFTA00313988.pdf PDF

DataSet-9 EFTA00313988 1 pg

CREDIT CARD AUTHORIZATION FORM Hotel: 'EV Individual/Business/Group or Event Name: Reservation Confirmation Number. H `I OCIA55- 4.8',5-1(se Arrival or Event Date(s): …

EFTA01141162.pdf PDF

DataSet-9 EFTA01141162 6 pg

Important Notice to Authors Attached is a PDF proof of your forthcoming article in Physical Review D. The article accession code is LK13738O1. Please note that as part of the production process, APS converts all articles, regardless of their original…

EFTA00293606.pdf PDF

DataSet-9 EFTA00293606 1 pg

Third Party Credit Card Authorization Form It MARRIOTT This form has been created in order to allow you to have third party expenses charged to your credit/debit card. I understand that the hotel is not required to accept this…

EFTA00313919.pdf PDF

DataSet-9 EFTA00313919 1 pg

Credit Card Payment Authorization Patient's Name: Credit Card: Visa Mastercard Discover AMEX y_ Card Number:_l Expiration Date: Security Code: q049 Name as it appears on credit card: TG t Reat•--i Epa--fu l(•.1 Billing Address for…

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