Assistance Request for: <img style="max-width: 100%;" alt="FA Logo" src="//www.tfaforms.com/forms/get_image/208208/UoBPYwox7wZx58HBVVhuGF0oLsaHbHFKzilpStvxFtUvZclWtA0YvHaRJbUf6PLG-FA_logo-web.jpg">&nbsp; &nbsp;&nbsp;<b style="font-size: 1.17em;"><span style="font-size: 14pt; line-height: 107%; font-family: &quot;Lucida Sans Unicode&quot;, sans-serif; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">Application for Freedom Alliance Programs</span></b><span style="font-size:14.0pt; line-height:107%;mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin"></span>

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