FAX Cover Sheet

                                                      FAX

                                                                                                                                            __(Personal or Company Name)__

                                                                                                                                            __(Address)__

                                                                                                                                            __(Address)__

                                                                                                                                            Bus: __(phone #)__

                                                                                                                                            Fax: __(phone #)__

                                                                                                                                            Email: __(email address)__

Date: __(date)__

Number of pages including cover sheet __(#)__

To: __(Name)__                                                                                                                           From: ___(Name)_

_ Company: __(Name of company)__

Phone: __(phone #)                                                                                                                     Phone: __(phone #) _

Fax: __(fax #)                                                                                                                                 Fax: __(fax #)__ ________________________________________________________________________ [ ] Urgent [ ] Please Reply [ ] Please Comment [ ] For Review ________________________________________________________________________

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