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One registration per course. Please feel free to reproduce this form. Mail to: Apollo Adult Education, 3325 Shawnee Rd., Lima, OH, 45806 or Fax BOTH SIDES to: 4199982994 TODAYS DATE Name (please print
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What is name please print clearly?
Name must be clearly printed to ensure accuracy.
Who is required to file name please print clearly?
Any individual or entity required to provide name.
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Name should be filled out using legible handwriting or typed.
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The purpose of name is to identify the individual or entity it belongs to.
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All relevant information regarding the individual or entity must be reported on name.
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