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Please Email in PDF Format or Fax the Completed and Notarized Form, along with a SIGNED
AND COMPLETED PAGE Two(2), & a Photo Copy of Your Drivers License or
Passport Page with your identification shown clearly to
877-488-5494,
and Mail The Original Completed Hard Copy of BOTH FORMS & PHOTO COPIES To:
Jack Benson, PO Box 94, Mehama, OR 97384
Printable Adobe PDF Document of the above
form located at:
You must complete Page Two of this form.