DISTRIBUTION LIST UPDATE
This mailer is provided to enable DNA to maintain current distribution lists for reports. We would
appreciate your providing the requested information.

QC)

Add the individual listed to your distribution list.

Ol

«Delete the cited organization/ individual.

1)

Change of address.

NAME:

ORGANIZATION:
OLD ADDRESS

TELEPHONE NUMBER: _(_

CURRENT ADDRESS

_)

SUBJECT AREA(s) OF INTEREST:

DNA OR OTHER GOVERNMENT CONTRACT NUMBER:
CERTIFICATION OF NEED-TO-KNOW BY GOVERNMENT SPONSOR (if other than DNA):
SPONSORING ORGANIZATION:
CONTRACTING OFFICER OR REPRESENTATIVE:
SIGNATURE:

Pg

Select target paragraph3