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Nd signs in Section VI, PA completes Sections II, III and V, then signs in Section VII. 2. Maintain a copy in the Cardholder and Program Administrator s files. 3. Fax completed form to 605-357-2092 or mail to Citibank Commercial Services, P.O. Box 6125, Sioux Falls, SD 57117-6125. SECTION II REPORTING PARAMETERS *Reporting Hierarchy: (1) 70234 SECTION III POS 51398 (2) *PLASTIC TYPE (Please check one of the following) White Plastic SECTION IV CARDHOLD.

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