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<HTML><HEAD><TITLE>LEAVITT ASSOCIATES, INC.</TITLE>

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                  <P>Institution or Affiliation:</P></TD>

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                  <P class=softhead>Seminar:</P></TD></TR>

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                        <P>I'm interested in learning more about the seminar or 

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                        <P>Email me once new white papers become 

                        available<BR><SPAN class=featurebody>Your email address 

                        will not be shared with anyone outside of Leavitt 

                        Associates, Inc.</SPAN><BR></P></TD></TR>

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                        <P><SPAN class=softhead>We're interested in hearing from 

                        you!</SPAN><BR></P></TD></TR>

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                      <TD vAlign=top align=left width=20>&nbsp; </TD>

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                        <P><SPAN class=featurebody>Please share with us any 

                        comments you have on our website, or any 

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            <P>&nbsp;</P>

            <P class=copyright>� 2012, Leavitt Associates, Inc. ALL RIGHTS 

            RESERVED</P></TD></TR></TBODY></TABLE></TD>

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            <P><SPAN class=featureheads>New England:</SPAN><BR>

												<SPAN 

            class=featurebody>369 Tappan Street<br>

													Brookline, MA 02445<BR>

													<SPAN 

            class=featurebody>(617) 823-3926<BR>

														<A 

            href="mailto:info@leavittassoc.com">ikl@leavittassoc.com</A></SPAN><BR>

													<BR></SPAN><SPAN 

            class=featureheads>Virginia:</SPAN><SPAN class=featurebody><BR>4400 Colley Avenue<BR>Norfolk VA 23508-0325<BR></SPAN><SPAN 

            class=featurebody>(757) 489-7830<BR>Fax: </SPAN><SPAN 

            class=featurebody>(757) 489-2125</SPAN><SPAN class=featurebody> 

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													<SPAN 

            class=featurebody><A 

            href="mailto:info@leavittassoc.com">ikl@leavittassoc.com</A></SPAN><BR>

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