Name _________________________________________________________________

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Please fax this form to 508 788-6217 or mail this form with a check or purchase order payable to Mark D. Abrahams for $199.00 to:

Mark D. Abrahams, President
The Abrahams Group
52 Flanagan Drive
Framingham, MA 01701

For more information contact Mark D. Abrahams at 508 788-9172 or at Bettergov@aol.com or visit www.TheAbrahamsGroup.com.