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Amsterdam ? June 23 24, 2011 The Hotel Okra Amsterdam Please fax this form to +1 703 527 1553 or email to meeting registration worldwide.org Registrant Information ? Dr. ? Mr. ? Ms. First name Middle

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Printable form worldwide is a document used to report information to tax authorities in various countries.

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The information required to be reported on printable form worldwide may include income, assets, investment details, and other financial information from various countries.