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PATIENT REGISTRATION AND HISTORY DEMOGRAPHIC INFORMATION ___ LAST NAME FIRST NAME MI ADDRESS: ___ CITY: ___ STATE: ___ ZIP : ___ HOME PHONE NUMBER: ___CELLPHONE NUMBER: ___EMAIL ADDRESS: ___ SEX:
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How to fill out city state zip

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Start by filling out the city in the designated space on the form.
02
Next, type in the state abbreviation in the corresponding box.
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Finally, enter the zip code in the appropriate field.

Who needs city state zip?

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City state zip information is needed on various forms such as addresses on mail, shipping labels, applications, and registrations.
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City state zip refers to the combination of the city name, state abbreviation, and zip code that identifies a specific location within a state.
Anyone sending mail or packages through the postal service is required to include the city state zip on the address label.
To fill out the city state zip, simply write the city name, state abbreviation, and zip code on the address label in the correct format.
The city state zip helps ensure accurate and timely delivery of mail and packages by identifying the specific location of the recipient.
The city name, state abbreviation, and zip code for the recipient's address must be reported on the city state zip.
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