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Nomination Form - Step 1 of 2

Terms

Checks are made payable to and mailed to the CURRENT OWNER unless authorized by CURRENT OWNER in writing to do otherwise.
(ie. APHA, NCHA, NRHA, NSBA, PHBA, etc.)
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Genetic Panel RESULTS:

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SELECT a Selling Option: See Condition 4 of the Consignment Contract for definitions.

I swear that all the information furnished above regarding this entry is true and correct to the best of my knowledge.