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PLEASE CHECK
THE APPROPRIATE AGE RANGE IN WHICH YOU FALL |
40-50
51-60
61-70
71-75
76-85
|
PLEASE
INDICATE THE RANGE OF INCOME IN WHICH YOU FALL |
50-60,000
76-100,000
101-150,000
OVER
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|
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Please print this form
and mail along with your check or money order to:
NAARVA National Headquarters, 614 Chipley Ave. Charlotte,
NC 28205,
Ph: 704-333-3070, Fax: 704-333-3071, Email: naarvainc@bellsouth.net
Make your check or money order payable to: NAARVA, Inc.
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FOR
NAARVA USE ONLY |
| PROCESSED
____________Ck#______
or M/O_______
Region __________________ |
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