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Please circle one: SML XL 2X 3X 4X 5X Revised 10×5/15-Page 1 of 5 + “, *&.% “.×. “%*/) &$%&0 '))().×. “ ! “#$%!& '(#)** ! “#* '+%+$, ×./#%$0+122 '/%3 '%. '45×3 “+46×7 “+8% “/8×0

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