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| DATE To whom it may concern: I request to have my name removed from your marketing lists. Here is the information you have asked me to include in my request: FIRST, MIDDLE & LAST NAME (List all name variations, including Jr., Sr., etc.) CURRENT MAILING ADDRESS AND PREVIOUS MAILING ADDRESS (Fill in your previous mailing address if you have moved in the last 6 months.) SOCIAL SECURITY NUMBER DATE OF BIRTH Thank you for your prompt handling of my request. SIGNATURE |
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