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OMB No. 0930-0320 Expiration Date 03/31/2014 Consent to Participate in an Evaluation Study Substance Abuse and Mental Health Services Administration (SAMOSA) National Evaluation of SAMOSA s Homeless
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To fill out the 0930-0320 expiration date 03312014, follow these steps:
01
Write the month and year: In this case, the expiration date is 03312014, so you need to write "03/31/2014."
02
Fill in the credit card number: The format of the credit card number is 0930-0320. Enter the digits 0930-0320 in the designated field on the form.
03
Enter the cardholder name: Provide the name of the cardholder associated with the credit card. This could be your name or the name of the person the card belongs to.
04
Specify the card's expiration date: Indicate the expiration date of the credit card you are using, which is 03312014.
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