Miss Aquafest 2015 Official Application Please print neatly. Some information is not applicable for younger contestants. Contact Pageant Directors at [removed] or go to www.aquafest.org. Please note age grou

Source URL: www.aquafest.org

VISION FEE SCHEDULE effective[removed]Print Date: [removed]PA Description OPHTHALMOLOGICAL SERVICES

Source URL: www.medicaid.ms.gov

• Lenses
• Geometrical optics
• Optometry
• Progressive lens
• Camera lens
• Intraocular lens
• Contact lens
• Toric lens
• Presbyopia
• Corrective lenses
• Optics
• Ophthalmology

Please print or type clearly 5. Please provide the name(s) and contact information of the person(s) responsible for answering any questions relating to this application? The contact person(s) will also be responsible f

Source URL: www.health.gov.nl.ca

• Teleprinter
• Media technology
• Email
• Fax
• Technology
• Telegraphy
• Typewriters

2015 MEMBERSHIP FORM (May 1, [removed]April 30, 2016) New___ Renewal___ Please Print your contact information: Name: First__________________________Last_____________________________ Other names if Family Membership: ______

Source URL: www.rlrlm.org

• Rangeley
• Maine

Subscription Form Contact Information (please print clearly) Email/Login ID (Your email will be your login ID) ___________________________________________________ Name ____________________________________________________

Source URL: www.mcf.org

• Subscription business model
• Business
• Payment systems
• Technology
• Credit card
• Fax

EXHIBITOR REGISTRATION FORM CONTACT INFORMATION (PLEASE PRINT) COMPANY NAME____________________________________________________________________________________________________________________

Source URL: www.emergencydispatch.org

• Dow Jones Industrial Average
• Wells Fargo
• MasterCard
• Deposit
• Economy of the United States
• Money
• Credit cards
• Financial services
• American Express

READING CHALLENGE TICKET Child’s name (print) Parent/legal guardian (print) Parent/legal guardian (signature) Contact info: (e-mail or address, and telephone number)

Source URL: www.dot.state.wi.us

Federal Register / Vol. 79, No[removed]Monday, December 29, [removed]Notices (Braille, large print, or audiotape.) should contact USDA’s Target Center at 202–720–2600 (voice and TTY). To file a written complaint of di

Source URL: www.gpo.gov

• Rural Business-Cooperative Service
• Food
• Conservation
• and Energy Act
• Government
• Supplemental Nutrition Assistance Program
• Food security
• Renewable energy commercialization
• Energy policy of the United States
• Energy policy
• Environment
• Energy

SPECIAL EVENT APPLICATION SECTION A. (Type or print legibly) Date of application: Contact phone #:

Source URL: www.rcgov.org

PRINT LOAN REQUEST Main Contact Information Borrowing institution: Venue: Sponsoring institution, if different (FIAF member preferred): Primary contact name:

Source URL: www.oscars.org

• Media technology
• Academy Film Archive
• Technology
• Email
• Inkjet printer
• Computing
• Computer printers
• Film archives
• Office equipment