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Please complete and return this form to's TU D E NT I N F OR M AT IO N 1000 W Campus Drive Wausau WI 544011899 Last Telephone: 715.803.1647 * FAX: 715.301.2904First Name. I.NTC Student ID# 20212022

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Constituent is a person who lives in a specific area and is represented by Congressman Jim Jordan.

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