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INSTRUCTIONS: Complete yellow section ONLY before seeing your sales rep. Press firmly, filling space completely, using BLACK or blue ink pen only. Print clearly in the boxes provided, following this

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What is complete yellow section only?

Complete yellow section only refers to the portion of the form that is highlighted in yellow and must be filled out accurately.

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Anyone who is completing the form and has information that falls within the yellow section must fill it out.

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To fill out the complete yellow section only, carefully read the instructions, provide accurate information, and double-check your entries before submission.

What is the purpose of complete yellow section only?

The purpose of the complete yellow section only is to ensure that specific information is captured and reported correctly.

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The information required in the complete yellow section only may vary depending on the form, but typically includes details such as personal information, financial data, or specific answers to questions.

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