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<br />As a member of the Minnesota Rural Water AssQciatio~ yo~ system,is entitled to receive three issues of our <br />quarterly magazine'''Minnesota Rural Water Today" and our monthly newsletter "'fA Times". Please:fill out the <br />names,: addresses aJid job titles of the ~ that will receive these issues. *AdditiOilal copies can be obtained by filling out <br />the subscription fc>rm on the bottom of tbi$ form and include $10.00 for one year, for each individual that wishes to receive our ' <br />publicationS. We need your BELPf Please turn over and',fiB out the back page. <br /> <br />TuM jJ~bf0 <br /> <br />Name ~ 'In.''' <br />1 M. {U <br />AddreSs t') ^ ,. \ r- 1/ _ <br />~ T-ed.V~filI8 <br />City, State, Zip <br /> <br />3. 1114j1V' <br />Name ~ <br />" j~ /Y}1tft. S7Ye,~i' <br />Address ~' <br />'~-e. <br />~ty, Stat~ Zip <br /> <br />1. f A-IA- P ~c:.u- <br />Name ~ \.. . <br />1'01> (,..J' 1Yt14i~ <br />Address . - \.l <br />~~l~ ~ <br />City,State,Zip , <br /> <br />2. <br /> <br />STI'ee..-r <br />~ 5SD~o- <br /> <br />I(hh~ ~ ~ <br />Position <br /> <br />,:s~ <br />~~ <br /> <br />f/;fp{;;;; ~ <br /> <br />Position <br /> <br />111~-I~ <br />p J/ ", <br /> <br />MN <br /> <br />ss-o 38" <br /> <br />'"'" <br />Sys- Name Q~ i' C-e.J\e..i.JA, t{ ~ , <br />SystemmaiIingaddress I fOD 111~ ., tf?f 4e!1, ' <br />System phone V!:f. -: rz,,- tf.757J Fax b67 -'/z9 - f?'l> ?-2 Cell# "or-~ 1-571,/ <br /> <br />Shop phone WIWWTreatmentPlantphone <br />Web site . ~. Cl>Ah7'<l vdl,,~. con.. EmaII fJfJh (f!LC'f'~~ Gl"'l <br /> <br /> <br />----------------------------------------- <br /> <br />Su:hscriptions (if you have more names, please copy this form. or put on another sheet of paper) , <br />. I . . . . <br /> <br />Name <br /> <br />Position' <br /> <br />Address <br /> <br />CIty, Stat~ Zip <br /> <br />( ,) <br />Amount Enclosed <br />