| Consent to Facsimile Advertisements | |
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Name: |
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Company: |
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| This Consenting Party hereby consents to receive from cheyenne Livestock & Products Inc. ( "Cheyenne") unsolicited facsimile advertisements at the following facsimile numbers. | |
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Fax Number |
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Fax Number #2 |
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Fax Number #3 |
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| This Consent to facsimile Advertisements shall be valid and in full force and effect until it is revoked by consenting party by a written instrument signed, dated and delivered by Consenting party to Cheyenne. | |
| Consenting Party: | |
| By: | |
| Date: | |
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| Title and its authorized Representative: | |
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