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The U.N., G8 & P.O.W.E. Initiative Of Mankind’s Agendas Now, Org.
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Form: 0002 The P.O.W.E. F.L.L.C. Sheet##:
E-Mail To: Presents
Date: / / Ct./Ter. St/Pro. Country:
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1) Last Name: MI: First:
Address: City/Pro. Country:
Check Preferred: (V) (S) (Donate AMT) $ Member/Partner: AMT: X (P) X (W) X
Economic System Preferred: Cash: Y: N: Credit: Y: N: D.S.R: Y:
Signature: Date: / / E-mail:
2) Last Name: MI: First:
Address: City/Pro. Country:
Check Preferred: (V) (S) (Donate AMT) $ Member/Partner: AMT: X (P) X (W) X
Economic System Preferred: Cash: Y: N: Credit: Y: N: D.S.R: Y:
Signature: Date: / / E-mail:
3) Last Name: MI: First:
Address: City/Pro. Country:
Check Preferred: (V) (S) (Donate AMT) $ Member/Partner: AMT: X (P) X (W) X
Economic System Preferred: Cash: Y: N: Credit: Y: N: D.S.R: Y:
Signature: Date: / / E-mail:
4) Last Name: MI: First:
Address: City/Pro. Country:
Check Preferred: (V) (S) (Donate AMT) $ Member/Partner: AMT: X (P) X (W) X
Economic System Preferred: Cash: Y: N: Credit: Y: N: D.S.R: Y:
Signature: Date: / / E-mail:
5) Last Name: MI: First:
Address: City/Pro. Country:
Check Preferred: (V) (S) (Donate AMT) $ Member/Partner: AMT: X (P) X (W) X
Economic System Preferred: Cash: Y: N: Credit: Y: N: D.S.R: Y:
Signature: Date: / / E-mail:
6) Last Name: MI: First:
Address: City/Pro. Country:
Check Preferred: (V) (S) (Donate AMT) $ Member/Partner: AMT: X (P) X (W) X
Economic System Preferred: Cash: Y: N: Credit: Y: N: D.S.R: Y:
Signature: Date: / / E-mail:
7) Last Name: MI: First:
Address: City/Pro. Country:
Check Preferred: (V) (S) (Donate AMT) $ Member/Partner: AMT: X (P) X (W) X
Economic System Preferred: Cash: Y: N: Credit: Y: N: D.S.R: Y:
Signature: Date: / / E-mail:
8) Last Name: MI: First:
Address: City/Pro. Country:
Check Preferred: (V) (S) (Donate AMT) $ Member/Partner: AMT: X (P) X (W) X
Economic System Preferred: Cash: Y: N: Credit: Y: N: D.S.R: Y:
Signature: Date: / / E-mail:
