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Nufrrber recipients paid per month per solution selected: <br />Program number ffi <br />*Processor will use thls number to determine the initial inventory needs of Cards. <br />The following indlviduals are authorized to act on behalf of Client: <br />Executive Contact Administrative Contact <br />tl <br />Name: c* fr %4 <br />Phone Number: ,!g o ^ -7Q<3 <br />Fax: <br />E-mail: ,fu, *9r'*6, te E-mail: <br />1Pe. /6'r*#b. **,us @,2 <br />Name: ?l qrb-ftd\sl€ <br />Phone Number: jn % 4"q-/5A <br />.u4."2€ <br />Secondary Contact (day.to-day operationsl <br />Fax: <br />, <br />Pri mary Contact (day-to-day operations| <br />Name: erq4 &r{ <br />phone Number: ,ry %A. ffi?3 phone Number: @ @- ZEW <br />I <br />Name: <br />Fax: <br />E-mait: <br />-er@4 . h, L4,,fc <br />Fax: <br />@.a. *'4/zbs, *&.?rs <br />e-^^it, &nrV.,bbd,)*,.gc @@,z.'fli'&s. ztJe, zt <br />RAPID Agreement page 13 of 13