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THE German Shorthaired POINTER CLUB OF AMERICA, INC. Registry of Merit for Outstanding Sires and Dams Name of Sire/Dam Sire/Dam (circle one) Date Of Birth Registration number Owner(s) Breeder(s) Owner
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C-ROM application pdf stands for Consent to Return to Original Medicare application in pdf format.
Individuals who want to return to Original Medicare after being enrolled in a Medicare Advantage plan.
The C-ROM application pdf can be filled out by providing personal information, Medicare information, and reasons for wanting to return to Original Medicare.
The purpose of the C-ROM application pdf is to request to return to Original Medicare after being enrolled in a Medicare Advantage plan.
The C-ROM application pdf requires personal information, Medicare information, and reasons for wanting to return to Original Medicare.
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