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DO NOT FILL THIS OUT UNLESS YOU:

A: CAN PURCHASE $2000.00/YEAR OR MORE
B: CAN PROVIDE WEBSITE, BUSINESS CARD CATALOG INFO
C: CAN PROVIDE 4 PEOPLE YOU SELL TO AND 4 PEOPLE YOU BUY FROM

RETAIL STORES, VETERNINARY OFFICES, END USERS PLEASE CHECK OUR DISTRIBUTOR LISTINGS HERE TO PLACE ORDERS

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