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79

SUPPLEMENTAL INFORMATION PACKAGE REQUEST FORM

RETURN TO: Realty Marketing/Northwest

P.O. Box 6465

Portland, Oregon 97228

Fax # (503) 242-1814

Email:

info@rmnw-auctions.com

Please send me the hard copy Supplemental Information Packages for the following:

Property Number

Property Name

Cost

Total

Cost is: $15.00 per package for hard copy

Enclosed is a check for $________________

Please print below:

NAME:

TELEPHONE: ( _____ )

COMPANY:

FAX: (______)

ADDRESS:

Email:

CITY/STATE/ZIP:

Business Profile:

Broker

Investor

Owner/User

Other

Supplemental Information Packages are

available via e-mail at no cost