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<div style="font-size: 12pt;">November 09 2019 FUUSM SERVICE AUCTION FORM</div>
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<div style="font-size: 12pt;">Your Name____________________________________________________________________________________</div>
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<div style="font-size: 12pt;">Item Name___________________________________________________________________________________ </div>
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<div style="font-size: 12pt;">Description_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ </div>
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<div style="font-size: 12pt;">If Applicable, how many seats________________</div>
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<div style="font-size: 12pt;">If Applicable, minimum bid___________________</div>
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<div style="font-size: 12pt;">If Applicable, Date of event___________________</div>
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