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Enrollment Form for SPUDS Employees Benefit Trust SPUDS Once completed and dated, this form should be submitted at once to: SPUDS DEBT, P.O. Box 64900, Lubbock, TX 79464 806-780-2100 Voice 800-658-6810

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The purpose of completing and dating a document is to certify that the information provided is accurate and up to date.

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