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PSA COUNTER REGIONAL APPLICATION NAME BIRTHDATE ADDRESS PHONE () CITY STATE ZIP REGION Carefully circle All the following that pertains to you: 2011 PSA Member Trade. Recurve Adult Intermediate Trade.
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Individuals or entities who are instructed to do so by the governing body or form are required to carefully circle all of.
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Any information that is requested in the form or document that requires careful circling must be reported.
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