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Please enter the following information for all of the individuals completing this questionnaire, so that we may call to clarify information, if necessary. |
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Name |
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Title |
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Telephone (xxx)xxx-xxxx |
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Name |
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Title |
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Telephone (xxx)xxx-xxxx |
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Name |
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Title |
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Telephone (xxx)xxx-xxxx |
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Name |
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Title |
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Telephone (xxx)xxx-xxxx |
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1.
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Is your office a: | ||
| (Check only one answer) | |||
| 1. | State office | ||
| 2. | Local office | ||
| 3. | Area office | ||
| 4. | Don't know | ||
| 5. | No response | ||
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2.
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In terms of processing payments, would you identify the state that your office is located in as one that is: | ||
| (Check only one answer) | |||
| 1. | Centralized | ||
| 2. | Decentralized | ||
| 3. | Don't know | ||
| 4. | No response | ||