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SUB <br />~`EUGENE`OR`97401 <br />~ rvou~.,wvr-~na pw~a-~~rvw i <br />~- 99 E BROADWAY; STE 400 ~. O~~ D,` ~/ ~~~- :, TO ENROLL IN THE BEASYPAY P OGRAMR <br />~ ~R 97401~-5174 <br />GENE <br />{~ . , ~.. ' SEE THE BACK OF.,THIS FORM:~ - <br />, , <br />,... , <br />.. <br />r ' L T <br />r . , , , . r, , <br />~ . .:.: ' ~ ' .. . -' - .. .,. ... , _. - . . . . :~,:'- . . . . .. . - <br />1;10000133296220081224~530?00001662500000000000000 <br />964 <br />