Name:
Email:
Address:
City:
State:
ZIP:
Home Telephone:
Alternate Telephone:
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to
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2009
Second Choice: Week #:
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From:
Jan.
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July
Aug.
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Oct.
Nov.
Dec.
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2008
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to
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Dec.
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2008
2009
Third Choice: Week #:
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From:
Jan.
Feb.
Mar.
Apr.
May
June
July
Aug.
Sept.
Oct.
Nov.
Dec.
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2008
2009
to
Jan.
Feb.
Mar.
Apr.
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June
July
Aug.
Sept.
Oct.
Nov.
Dec.
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2008
2009
Fourth Choice: Week #:
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51
52
From:
Jan.
Feb.
Mar.
Apr.
May
June
July
Aug.
Sept.
Oct.
Nov.
Dec.
1
2
3
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6
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31
2008
2009
to
Jan.
Feb.
Mar.
Apr.
May
June
July
Aug.
Sept.
Oct.
Nov.
Dec.
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2008
2009
