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STATE OF WEST VIRGINIA
DEFERRED COMPENSATION PLAN
PARTICIPATION AGREEMENT
Rev. 11/2009
Check ?the appropriate transaction below.
Auto
Enrollment
New
Enrollment
Decline
Automatic
Enrollment
Restart/
Increase
Salary
Deferral
Termination
/Retirement
Date:
___
Decrease
Salary
Deferral
Suspend
Salary
Deferral
Name/
Address
Change
PARTICIPANT
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