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.

O

Add theindividual listed to your distributionlist.

QO

Delete the cited organization/individual.

QO

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 GOVERNMENTSPONSOR(if other than DNA):
SPONSORING ORGANIZATION:

CONTRACTING OFFICER OR REPRESENTATIVE:
SIGNATURE:

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