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Presenters Pamela Stutch Esq. Maine Bureau of Insurance Maureen Kerrigan Partnership Manager CMS Division 1 Office. 945-4766 Presenter Susan W. McKay CLU ChFC LUTCF Name Address City Zip Code Mail or Fax Form NAIFA-Maine PO Box 2695 Bangor ME 04401-2695 Tel 945-4766 Fax 941-0241 Tel E-mail Maine Producer License Number Are you a NAIFA-Maine Member Yes No 2 15-5 00 45 Both Seminars 70 Non-Members 12 00-2 00 2 15-5 00 Both Seminars Amount enclosed payment by check preferred VISA or...
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