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<br />; 3140 Del Webb Avenue NE
<br />Salem, OR 97303-4165
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<br />~ 503-588-2424 Fax 588-0209
<br />~ E-mail: cherriots.org '
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<br />APPLICATION FOR APPOIN~'MENT TO THE
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<br />ELDERLY AND DISABLED CONSUMER ADVISORY COMMITTEE
<br />Thank you for yo~;r interest in Salem Area Transit!
<br />CLOSING DATE: FFZIDAY, NOVEMBER 28, 1997 AT S:OOPN(
<br />(Please print or type all information)
<br />DATE: [ r - .~ ~. ~ `17
<br />NAME: yU <~:~ ~~ P M A iZT~ n
<br />MAILWG ADDRESS: !~~ H<~:~a t.~~,~~~ <_.r ~v
<br />~Sa~~~ r ~~. '-)73C~, .
<br />TELEPHONE: ~,U 3 ?~~i 3 -,;! ~:,t 1
<br />OCCUPATION: ~i:~ c-~1-,ied i'r~<.: ~.r~: ~~d r•;..t- Fi-~~~r,v,r~: {'~ .-
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<br />~ Please describe your interests in serving on the Elderly and Disabled Consumer
<br />Advisory Committee. What would you like to see the District accomplish in
<br />relation to transportation services for elderly or disabled persons in our area?
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