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Agencies needing ESC vendor infor mation Tax ID W-9 etc. should contact Keith Thomas MRESC Treasurer directly at kthomas mresc.org or 937-599-5195. HOW TO REGISTER FOR WORKSHOP Please complete and mail/email/or fax this registration form along with your form of payment purchase order or check to Susan Shields 121 South Opera Street Bellefontaine Ohio 43311 Attn Number Talks Institute J une 2016 Email sshields mr esc.or g Fax 937-599-1959 Note Checks should be made payable to Midwest Regional...

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