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SUMMER 2011 REGISTRATION FORMAL TO: USSR, 2915 Maple Street, Franklin Park, IL 60131 FAX TO: 847.455.2157 SIGNED REGISTRATION MUST BE RECEIVED BY JUNE 3, 2011Participants Name: Birth Date: Address:

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Read the instructions carefully.

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2157 signed registration must is a form required by the government for certain entities to report specific information.

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Entities such as corporations and businesses are required to file 2157 signed registration must.

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Information such as financial data, ownership details, and other relevant information must be reported on 2157 signed registration must.

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