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<br />E@SIGMA <br /> <br />SimplifYing Your Future'" <br />SIGMA DATA SYSTEMS, INC. <br />INFORMATION UPDATE FORM <br /> <br />DESIGNATED SIGMA IV ADMINISTRATORS <br /> <br />PRIMARY <br /> <br />ALTERNATE <br /> <br /> <br />1'itle: <br /> <br />0,) COlt.\' [-C <br />~'d r f1f'JiJ/fhr/ <br /> <br />Name: <br /> <br />S-..L'S.6.-v-. ~0--rC-.(,,,,, <br /> <br />. Name: <br /> <br />Mailing <br />Address: <br /> <br />Mailing () /). . <br />Address: L/Vt ( <br />JL.I", 4/"'", <br /> <br />Phone /7-') lY7~b7t3 Phone 7- S33 <br />Number: Number: <br />E-Mail <br /> :.( <br />Fax 6Y}-6730 Fax ~/ 9'30 <br />Number: /'/ Number: <br /> <br /> <br /> <br /> <br />The above listed primary and alternate SIGMA IV administrators are the designated representatives for support <br />calls to SIGMA Data Systems, Inc. <br /> <br />~ cJuJ). <br /> <br />'I"'\/:< '" ~... <br /> <br />s -1 ~DO <br />Date Signed <br /> <br />ame & Title (please print) <br />? Us ~ V1V\&. 0 ~o't\\V'> M",')r <br /> <br />{~( ~ <br /> <br />Signaiue <br /> <br />6367 East Tanqua Verde Road' Suite 110' Tucson, AZ 85715 <br />5201721-1191' 800/677-1275' (FAX) 5201721-1459' www.gosigma.com <br />