ࡱ> 463R 8bjbjVV |D<< 88{{{{{8t;$H-_"(+"+"+"#$|:%@,,,,,,,./1d,]{'#"#'',{{+"+"[-+*+*+*'F{+"{+",+*',+*+*+*+"fA|7(+*,-0H-+*427(42+*+*442{_+0z%Z%@+*&4H&z%z%z%,,1)z%z%z%H-''''42z%z%z%z%z%z%z%z%z%8 A: Donor Information Person Preparing Form: Advance ID #:  FORMTEXT        FORMTEXT       Appeal Code:  FORMDROPDOWN  Phone: (919) 51 FORMTEXT       Date of Gift:  FORMTEXT       Proposal #:  FORMTEXT       Donor s Full Name:  FORMTEXT       Donor s Address:  FORMTEXT        FORMTEXT        FORMTEXT       Phone:  FORMTEXT       Cell:  FORMTEXT       Donor Type:  FORMDROPDOWN  Preferred Phone:  FORMDROPDOWN  Donor Information:  FORMDROPDOWN  E-mail:  FORMTEXT       Recognition (Soft) Credit: Matching Gift Information: Name:  FORMTEXT       Company Name:  FORMTEXT       Advance ID #:  FORMTEXT       Advance ID #:  FORMTEXT       Address (if not on Advance):  FORMTEXT       Address (if not in Advance):  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       Phone:  FORMTEXT       Cell:  FORMTEXT       Matching Form Attached: Preferred Phone:  FORMDROPDOWN   FORMDROPDOWN  E-mail:  FORMTEXT        Pledge Information Total Promised Amount (Excluding Matching Amount):  FORMTEXT       Allocation (Fund) Number/Name:  FORMTEXT       Foundation to Receive Gift:  FORMDROPDOWN  Reminders:  FORMDROPDOWN  Special Billing Instructions:  FORMTEXT       Reminder Amount:  FORMTEXT       Reminder Date:  FORMTEXT   ".\xz   0 2 F ׶ȣבȣ|lT|Hhn-h/CJ\aJ.jhAACJUaJeh r hAACJaJeh r (jhAACJUaJeh r #jvhn-h/CJUaJ%jhn-h/CJPJQJUaJ#jhn-h/CJUaJjhn-h/CJUaJhn-h/CJaJhn-h/5CJ\aJhn-h/5>*CJ\aJ\ , x f  *RHJ x]gd gd 1gd 1m$ gd 1m$ gd/ gd/gd/F H J T V t v      & ( N P d f h r t ޙygU#jphn-h/CJUaJ#jhn-h/CJUaJhn-h/5CJ\aJ#jhn-h/CJUaJ(jhn-h/CJUaJmHnHu#j hn-h/CJUaJhn-h/CJaJ%jhn-h/CJPJQJUaJjhn-h/CJUaJ#j|hn-h/CJUaJ!t x z B D X Z \ f h zhV#jHhn-h/CJUaJ#jhn-h/CJUaJ%jhn-h1\CJPJQJUaJ#j\hn-h1\CJUaJhn-h1\CJaJjhn-h1\CJUaJh1\CJaJ%jhn-h/CJPJQJUaJ#jhn-h/CJUaJjhn-h/CJUaJhn-h/CJaJ    B D ` b d f v и|YQ9.hn-h/CJaJ.j h 1CJUaJehrh 1CJaJEj. hOPh 1CJUaJeh fHq r 6hOPh 1CJaJeh fHq r ?jhOPh 1CJUaJeh fHq r .jh 1CJUaJehrh 1CJaJehr(jh 1CJUaJehrh5$%h 1CJaJv x  " 6 8 : D F p r &(dfz|j#j hn-h/CJUaJ#j hn-h/CJUaJ#j hn-h/CJUaJ#jd hn-h/CJUaJhn-h/5>*CJaJ%jhn-h/CJPJQJUaJ#j hn-h/CJUaJhn-h/CJaJjhn-h/CJUaJ)z|~  *,@BDNPRThjlvxxf#j.hn-h/CJUaJ#jhn-h/CJUaJ#jhn-h/CJUaJ#jhn-h/CJUaJ#j hn-h/CJUaJhn-h/CJaJ%jhn-h/CJPJQJUaJjhn-h/CJUaJ#jh hn-h/CJUaJ(024>@nx]H(jhOPCJUaJehr4jhOPh/CJUaJeh r %hOPh/CJaJeh r .jhOPh/CJUaJeh r hOPh/CJaJ#j2hn-h/CJUaJ%jhn-h/CJPJQJUaJ#jhn-h/CJUaJhn-h/CJaJjhn-h/CJUaJ   "68:DFHJLNt·x_THT@ThOPCJaJhn-h<_>*CJaJhn-h<_CJaJ1jh 1h 1B*CJUaJmHnHphuhn-hCJaJ%jhn-h/CJPJQJUaJ#jphn-h/CJUaJjhn-h/CJUaJhn-h/CJaJ(jhOPCJUaJehr.jhOPCJUaJehrhOPCJaJehrJNtvnn ....h1j11 xgd<_ x ] gd;9  ]gdL x]gd. x]gd/ x]gd^$a$gd<_gd<_gd<_ x]gd@BFH\^`jlnߤs_sIs=hn-h/CJ\aJ+jhn-h^5CJUaJmHnHu&jhn-h^5CJUaJ jhn-h^5CJUaJhn-h^5CJaJhn-h^5hn-h^5CJaJhn-h/5CJ\aJ.jhn-h<_5CJU\aJmHnHu)jhn-h<_5CJU\aJhn-h<_5CJ\aJ#jhn-h<_5CJU\aJFH\븬sQE6jhn-h/CJUaJhn-h.CJ\aJBj2hOPCJU\aJeh fHq r 3hOPCJ\aJeh fHq r <jhOPCJU\aJeh fHq r hn-h<_CJ\aJhn-h/CJaJ.j hOPCJUaJeh r hOPCJaJeh r (jhOPCJUaJeh r \^`jl޿~sdYGd2(jhn-h1A%CJUaJmHnHu#jhn-h1A%CJUaJhn-h1A%CJaJjhn-h1A%CJUaJhn-hLCJaJ(jhn-h.CJUaJmHnHu#jhn-h.CJUaJhn-h.CJaJjhn-h.CJUaJhn-h<_CJ\aJ%jhn-h/CJPJQJUaJjhn-h/CJUaJ#jhn-h/CJUaJ    Promise is:  FORMDROPDOWN   FORMCHECKBOX   FORMDROPDOWN  Per SFAS 116, promises to give are classified as either unconditional or conditional. In conformance with SFAS 116, NC State will recognize unconditional promises to give at fair value in the period the promise is made. Conditional promises to give will be recognized when the conditions are substantially met and the promise to give becomes unconditional. Working Definitions: Conditional Promise to Give  Promise contingent upon an event occurring, goal being attained, or another specific requirement being met BEFORE a contribution will be made Unconditional Promise to Give  Promise to give that depends only on the passage of time or demand by the promise for performance. Conditional promises to give must have the appropriate documentation attached for review. Quarterly analysis will determine if the conditions have been met and/or the status needs to be changed.      EMBED PBrush   EMBED PBrush  University Gift Processing Pledge Transmittal Advancement Services  University Gift Processing Box 7474, NCSU Campus Raleigh, NC 27695-7474 Phone: 919-515-7827 / Fax: 919-513-2406 (Revised: 08/10/09) ...".$.@.B.D.L.N.j.l.n.r.t.....͸ujXuj@5hn-h<_CJaJ.jvhPh;CJUaJehr#jhn-hd}CJUaJhn-hd}CJaJjhn-hd}CJUaJhn-hLCJ\aJ.j"hPh;CJUaJehrhPh;CJaJehr(jhPh;CJUaJehrhn-h<_CJ\aJjhn-h1A%CJUaJ(jhn-h1A%CJUaJmHnHuU... /$/,/B///V0~0112*33 45555555555555566666677ۿۿ۷qfj@%h)h}Uj}@ h)h}UVh)h}CJjlh)h}Uj}@ h)h}UV h)h}jh)h}Uh?eQjh?eQUhn-h<_>*CJ\aJhn-h<_6CJ\aJhn-h<_CJ\aJhn-h<_CJ\aJhn-h/CJ\aJ&1223355555555567:7`7b7d77$a$gdgdZ$a$gdZL^LgdZgdZ xgdb%\ xgd<_ x^gd<_777:7F7^7d777r8888888888ûðhn-h<_CJ\aJh?eQhLCJaJhh}CJaJhOPCJaJh/CJaJh/B*CJaJphhh}B*CJaJph h)h}h} h/CJh)h}CJ77"8r888888 xgdb%\$a$gdz+p 8,p 8-p 8.p 81h/R 4 85 86 87 8:p 1/ =!"#$% vD Text17D#Text4 FIRST CAPITALxDf Dropdown4(select from this list)HIN Hunt InitiativeCS College SolicitationML Major/LeadershipPTW Pave the WayUS UnsolicitedD#Text4 FIRST CAPITALzD#M/d/yyyyvDText19vD#Text20vD#Text21vD#Text25vD#Text25vD#Text25vD#Text25pDf(select from this list)Alumnus CorporationCorporate Foundation Faculty/StaffFormer Faculty/Staff Former Parent FoundationFriendNon-alum spouse of alumOther OrganizationParentReligious OrganizationRetired Faculty/StaffStudentVet Med Center ClientDf(select from this list)BusinessCellularHomeOtherDf(select from this list)Address Change Name Change New DonorvD#Text25D#Text4 FIRST CAPITALD#Text4 FIRST CAPITALtDText5tDText5D#Text4 FIRST CAPITALD#Text4 FIRST CAPITALD#Text4 FIRST CAPITALD#Text4 FIRST CAPITALD#Text4 FIRST CAPITALD#Text4 FIRST CAPITALvD#Text25vD#Text25Df(select from this list)BusinessCellularHomeOtherDf(please select from this list)YesNoDonor filed electronicallyvD#Text25D Text28$#,##0.00;($#,##0.00)D, FIRST CAPITAL(Df Dropdown9(please select from this list) ARTS NC StateFriends of the LibraryNC 4-H Development Fund, Inc. NC Agricultural Foundation, Inc.NC Dairy Foundation, Inc.!NC State Alumni Association, Inc.NC State Endowment Fund%NC State Engineering Foundation, Inc.NC State Foundation, Inc.NC State Foundation-CHASSNC State Foundation-DesignNC State Foundation-EducationNC State Foundation-ManagementNC State PAMS Foundation&NC State Student Aid Association, Inc.NC Textile Foundation, Inc.NC Tobacco Foundation, Inc.&NC Veterinary Medical Foundation, Inc.+NC State Natural Resources Foundation, Inc.TDf Dropdown6(please select from this list)Monthly Quarterly Semi-AnnualAnnuallyLump Sum No BillingSpecial BillingD#Text4 FIRST CAPITALD#$#,##0.00;($#,##0.00)zD#M/d/yyyyDf(please select from this list) Unconditional ConditionaltDCheck1Df(please select from this list)Bequest ExpectancyIrrevocable TrustDd 80  # AbPDF-5ar  !"$%&'()*+,-./01258QP:;<=>?@ABCDEFGHIJKLMNOTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root Entry F,iA|7Data #8WordDocument|DObjectPool'bA|,iA|_1086422491  F'bA|qdA|Ole CompObjMObjInfo ! FPBrushPBrushPBrush9q  FPBrushPBrushPBrush9qOle10Native 9d-Ole10ItemName_1086422423 FqdA|qdA|Ole `-BMN-6(-ttFFFFFFFFccނ΂FFcccccc6666ccFFFF66ccccccFFFFccFF6666FF΂邂FFFFFFFF΂FF66cccc΂΂cccc΂FFFFFFFFFFcc66΂΂66FFFFFF邂cc΂ccFF΂66FFFF66΂cc΂ccFF΂FF΂邂邂邂66΂cc66΂cc6666FF΂FF6666FFFF66FF΂66cc΂66FFFFFFFFFFFF΂cc66΂ccccFFFF΂΂FF΂΂66΂6666666666ccccFF66FFނ΂FFcc66FF66΂CompObj MObjInfoOle10Native SkOle10ItemName  Oh+'0   @ L X dpxDonor Informationdjfrey pledge.dotdjfrey1Microsoft Office Word@F#@kBMk6(Hktt޽εƵννֽ޵kkkZZZRRRRRRRRRccc֜sssZZZRRRRRRZZZ{{{Ɯ筭筭֥sssZZZRRRRRRZZZ{{{ƔsssZZZRRRRRRccc֥sssZZZRRRRRRZZZkkkssskkk{{{祥{{{ssssssスsssBBB999BBBcccssssss{{{kkkkkksss֔ZZZ999999JJJsss{{{kkksss祥{{{kkksss祥ssssss{{{ޥkkkBBB999999999RRRsssスZZZBBB999999BBBZZZ{{{kkksssޔssskkk{{{kkksssޭsssRRR999111999BBBccc祥{{{kkksss祥ssssss{{{ﭭkkkBBB111999JJJ΄BBB111ZZZ{{{111ccc便999!!!!!!RRRRRR!!!!!!!!!)))ssskkk)))!!!111{{{)))ZZZﭭRRR!!!BBB{{{!!!BBB{{{JJJZZZcccccc999ZZZ999BBB{{{!!!111!!!BBBBBBkkk焄)))ZZZ{{{!!!kkk111sssﭭJJJ111JJJccc)))111JJJ甔!!!ZZZ焄)))ZZZ{{{!!!kkkkkk111JJJ!!!111ZZZBBB)))sss!!!sss!!!cccccc!!!RRRJJJ111BBB!!!sss111!!!ZZZ)))JJJ111BBB999kkk)))RRRkkkRRR999RRR)))111BBBsssccc!!!{{{111!!!111JJJsss999sssccc!!!JJJBBB!!!999JJJ!!!!!!))))))ccc!!!)))ccc)))sss{{{ZZZsss)))BBB999)))!!!ccckkkccc!!!kkkJJJ111JJJJJJ!!!JJJccc999999ZZZccckkk!!!)))!!!JJJތ111BBBccc111RRRZZZcccތޔsssBBBRRRRRRRRRRRRRRRRRR{{{111!!!kkk!!!cccBBBJJJkkkkkksssBBBޥ111kkk111cccޭBBBJJJkkk!!!JJJ{{{111޽{{{kkkBBB)))JJJ޽)))!!!)))sss)))JJJBBB!!!111RRR))){{{JJJ999!!!111JJJޔsss999JJJRRRRRRRRRRRRJJJRRRRRRcccZZZ111))){{{BBBRRRRRRRRRRRRRRRRRRRRRRRR{{{֜!!!kkk{{{RRRRRRBBBsss!!!sss{{{999!!!111111111111111111111111BBBZZZ111ZZZ)))111111111111111999999111RRRsss{{{111!!!kkk111BBBRRR{{{ZZZ111sss!!!ZZZ111!!!{{{)))sssJJJZZZ!!!ccc111{{{999{{{JJJZZZ{{{֥JJJJJJ{{{JJJ!!!RRR111ޥ)))111!!!999JJJ!!!999cccBBB{{{JJJ!!!ZZZ!!!999ZZZ֥BBB111BBBZZZBBB111sssΌsssssssssޜsss111cccZZZ)))kkk111RRR!!!111{{{RRRRRRkkk999BBB!!!sssRRRRRR!!!999ZZZRRR111JJJkkkkkk999999BBBssssss!!!քRRRRRRkkk999111)))999111)))֥!!!kkk{{{{{{)))JJJ999kkkBBBZZZcccRRRkkk{{{!!!ތ))){{{BBB)))BBBkkk{{{111ZZZRRRBBB999!!!)))ZZZ999111!!!BBBRRRZZZ)))!!!999!!!!!!cccsss))){{{)))kkkJJJ!!!cccBBBRRR))){{{kkk!!!cccsssJJJ޽)))cccsss!!!RRR999999cccccc111kkk999999sss999)))JJJ!!!kkkJJJ!!!{{{)))ZZZJJJ)))111)))!!!!!!999ZZZJJJ!!!!!!)))RRRBBB)))kkk)))RRR111)))111)))!!!)))kkk޵!!!RRR111111111JJJ111111{{{BBBRRRJJJ)))kkk!!!!!!ZZZ!!!BBB!!!cccRRR111sssJJJ)))999!!!ccc!!!RRRZZZބkkksssJJJssskkkssskkk{{{ssscccޔsssRRR)))ޔޔބޔބތޜތޔsssޭޔބ{{{sssRRRRRRZZZ޽޽ZZZ޽sssssskkkZZZ999999甔ZZZRRRRRRkkk111999BBB)))RRRkkk999RRRsss!!!޵999111!!!kkkZZZ111RRRRRRcccRRRRRRޭޭdA,n$DF-5ardAPNG  IHDR<8RsRGB pHYstwKLIDAThC=OA9-,UZlH jքC-lP јHD] s㹹ݝ=P™Lȼ<9??ijܲ4Qv:>BO.rdsSa&[˵V L+mwkJno[%snϟ_Ck ./D[='Wd :OBԞ`+xq#N<4_^þ@WVX ps0^9[{pXⳓ~Fixh2~[]!j40@EF5ipSp<,:&Q4ٹ9ҔƋ|3ث|gGZ:Dn*z^%,'K0Ze>f@v5xᇖո={̌Kl@aJyNWs>-8#7.z=a 8','2t˲z EUL$@YUVĩy(zi>4ymX[12Ir;~B-dslؾ uN SrБJ:Ks1jVi \ TfbnWsE1ӖBux0Tt-I+y6WjgCZ'IpG$9(9b%S&m1$BҖ&n/i5(E%޾e*~y~G %si U,9LFE0ohiS'm9'x[<}Fh+ exHD:[[-/jU}%-T;!a"CH dMbNj ?@*E Ω/ls"wA2"͌3ʪJg[}_lߠ&&v/sWaMILcx|y\7ffi(kd4okkԡ\;W-Z˥ut3!ZLv(iifmĩV$0_IENDB`Dd `P0  # Ab9l&^ aΚ%n9l&^ aΚPNG  IHDRH1sRGB pHYstr<iIDATx^OhW㌂BE3.Nw(2Yŀ̀%(M,B0BLvq_ ],4 Bsמw{fl3s=rdlI`$?bgH#  6cw q{'N\H?~̙ J [ԉ/0>k Vpu'\ ΞG]rezzHgD@ՖvO="[ 0':1{:o: Fӱ5,ŋa0z,^٫W=ztz ߽{O>}gDMʀW^ᖃ3POLp@a/4]!Mͤj*>v>.M!Wt ul Ppνw6 CUɼ3#H$ٳA![^XKpbaˇHI0|5àW$^G}0ACU[[n޼9ǠHCbDKas>xok.^do7+C/@a!s0ʣo23Uq# NLLl|iO_a( juzg@Ci@W/N\ۚ\G??qH̝ȃ#y l%Cip[70 5jvl`o\~N5\UI,;XUKof!)+D{pnnlj*+M6ȭ*?>3C!@K.enN@@OMe~@ g)@63#]YYٗ.D 2J8Un` h|fo&6f' k4w/No7a(635#bs;ؒgwܩj>=z0L=jW=wh鰗*1^[Λ7oPӧܓ$ػt_U?@҇~xɀzXϞ= ,oOM {ǎcҩ'~[HL[xx5B߶lox4KΞAs&:)]5Y6~N bG}$9ɿ|ue ;ݏW J$S2?~M1.FC\>ښm NPz (Z xTO?AS_}ute$ OE$ \1hg@1:f"\* -Q:<ƄtkvܩSXY؂S]sy'O$Kq钇g"ļUw&L[l9쳋[!!4ѕ<"8V8դ;v XM\PX!v sk-렛++rݭ=%Hag/ 6~ׯH[6jb &ugxa~ mbʊ„ w9vψ)AC/>b%G={$U]Yg ٸ65cC6gJ8U6pm׮aE~ #c)իWi#@U S @ AvI^AxC3s:հ!;˧pXr+Ⱦqc*1|Է* lA˫wz+@CJAw^na\10"(xy+k"xo~>Ц@3*(%U) 1"-lv(ê1kt+z>`Y@53S@QN 6S "M}hDs^A`:^%;Mrf1XDXh7D6Lz%x ( :{A"P誎| i'8 b+"%v .TJ`PlP͠n-yG)WftB ~\ "|"s,\kcW3]8| b"eyttl%""bY oq $PDC X >0I6gCwױ< q"j *@٩@("v8|8*"JpN^JX$o36j m޿SOVP R)! )?o@'l"pTlw#BM~Oaox6bB?X(!,v Q+?Hꎝ\TH KYj̤B]WK46L,yaѪ(abd;mdQg^łDY'K${(# |pw2 ~ !Z[jR_Ӿo~[5N)q % ÇLw(,5Kkkx[N$-fTBGP29]M׈( 2bek>d@y4IXE}JP't5@Ϳ-JC@3݈%@zAĹ&ϓDC d%*1 V FsȢ O]wU$vTOnJy5h[uoY=8c gCtpa(UXTi#AY*P'b_vsr` jΌ}vTDӔCDSVBI!S@\1|]hUg6)#4ܦ?saK5f=@5C~4 gZ2rJ<6RdM/04̃;v7F!5JLFDv^OS;VQŦe>gHZQp3ϻy5\x;3f"(1`JTbgw ج:8 /Hz+M%rTuT_ss3jj'S#eW "y}LEA ;M" C GeyғG?fRSջrvXvq~.9,1Bs|IENDB`1Table42SummaryInformation( DocumentSummaryInformation88MsoDataStoreqdA|fA|!@\|@V!|tL՜.+,0 hp  NC State University  Donor Information Title j  666666666vvvvvvvvv666666>666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ OJPJQJ_HmH nH sH tH L`L ZNormal$CJOJPJQJ_HaJmH sH tH H@H <_ Heading 2$$ @&a$5\H@H Z Heading 4$$@&a$ 5>*CJ\^^ Z Heading 8$$@&!B*CJOJPJQJ^JaJph@@@DA D Default Paragraph FontRiR 0 Table Normal4 l4a (k ( 0No List VV ZHeading 4 Char!5>*CJOJPJQJ\^JaJ4@4 Z0Header  H$FF Z0 Header CharCJOJPJQJ^JaJ4 @"4 Z0Footer  H$F1F Z0 Footer CharCJOJPJQJ^JaJHBH Z0 Balloon TextCJOJQJ^JaJRQR Z0Balloon Text CharCJOJPJQJ^JaJVaV ZHeading 8 Char!B*CJOJPJQJ^JaJph@@@HCrH ZBody Text Indent `^`CJZZ ZBody Text Indent CharCJOJPJQJ^JaJB Z0 Body Texti$x$d %d &d 'd -DM N O P Q ]a$5>*B*CJ\phll Z0Body Text Char75>*B*OJPJQJ\^JaJfHphq  I" Light ShadingG:V044j;@ j; jDjD2dfdfd5B*ph5\5\5\5\ I"Light Shading - Accent 1G:V0OO44j;@ j; jDOOjDOO2dfdfd5B*ph6_5\5\5\5\ I"Light Shading - Accent 2G:V0PMPM44j;@ j; jDPMPMjDPMPM2dfdfd5B*ph645\5\5\5\tt I" Table Grid7:V0 dNN <_Heading 2 Char5CJOJPJQJ\aJPK![Content_Types].xmlj0Eжr(΢Iw},-j4 wP-t#bΙ{UTU^hd}㨫)*1P' ^W0)T9<l#$yi};~@(Hu* Dנz/0ǰ $ X3aZ,D0j~3߶b~i>3\`?/[G\!-Rk.sԻ..a濭?PK!֧6 _rels/.relsj0 }Q%v/C/}(h"O = C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!Ptheme/theme/theme1.xmlYOo6w toc'vuر-MniP@I}úama[إ4:lЯGRX^6؊>$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3ڗP 1Pm \\9Mؓ2aD];Yt\[x]}Wr|]g- eW )6-rCSj id DЇAΜIqbJ#x꺃 6k#ASh&ʌt(Q%p%m&]caSl=X\P1Mh9MVdDAaVB[݈fJíP|8 քAV^f Hn- "d>znNJ ة>b&2vKyϼD:,AGm\nziÙ.uχYC6OMf3or$5NHT[XF64T,ќM0E)`#5XY`פ;%1U٥m;R>QD DcpU'&LE/pm%]8firS4d 7y\`JnίI R3U~7+׸#m qBiDi*L69mY&iHE=(K&N!V.KeLDĕ{D vEꦚdeNƟe(MN9ߜR6&3(a/DUz<{ˊYȳV)9Z[4^n5!J?Q3eBoCM m<.vpIYfZY_p[=al-Y}Nc͙ŋ4vfavl'SA8|*u{-ߟ0%M07%<ҍPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 +_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!Ptheme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] Q D F t v z\.78  J178 !<HNP\bt '39<HNQ]cs !1;GM 2>Dfrxz aqv#/5Scp!&69IQ FFS FFFFFFFFFS$S$S$FFFFFFFFFFFFFS$S FFFS S FFFS G$S ::8@(  P  3 "?B S  ? Q A=C+=tText17 Dropdown4Text19Text20Text21Text25Text4Text5Text28 Dropdown9 Dropdown6 _Hlt12874263 _Hlt12874264 _Hlt12874306 _Hlt12874701<t(tSp R  @ @ @@O:d R ed: fd:<$gd:hd:l$id:-"jd:L-"   R      R ;*urn:schemas-microsoft-com:office:smarttagsaddress:*urn:schemas-microsoft-com:office:smarttagsStreet9*urn:schemas-microsoft-com:office:smarttagsplace8*urn:schemas-microsoft-com:office:smarttagsCity9*urn:schemas-microsoft-com:office:smarttagsState>*urn:schemas-microsoft-com:office:smarttags PostalCode $ O R BDep"&KLLMM O R ep"&KLLMM C I J K R ,r/ ^) =m&>)@52X`[_ia$;j/pHyAWz>K{FCcMo2w/7^1A%>'. 1s1Ph;AAXwEQIlIjJRJwqNOP?eQ>cR)[Tb%\1\O`\d]<_Z`\f~fXo=p(x6zd}a7m\/EM<Z`7};9$P5fQ}N>h~_tn-)I"/8?}]3vL @XQ `` ` ````.UnknownG* Times New Roman5Symbol3. * ArialG5  hMS Mincho-3 fg7.{ @Calibri7K@Cambria5. *aTahomaA BCambria Math"h& &s&tLtLx4d 3QHP $P?eQ*!xxDonor Informationdjfreydjfrey  F'Microsoft Office Word 97-2003 Document MSWordDocWord.Document.89q