ࡱ> [@ 3bjbj44 fViVi#<< < < < d ```@alb Gfe rrrru)wwh$R~, {tu{{,< < rrkڅڅڅ{:< Rr rڅ{څBڅ:Ɗ, " Nre `? `8| 0GR}| }N DX T< < < < } f]x y|څydy]x]x]x,, U`ą `APPLICATION FOR CADET MEMBERSHIPCHARTER NUMBERSOCIAL SECURITY NUMBERIN CIVIL AIR PATROL (Type or print.) FORMTEXT      formtext      LAST NAME - FIRST NAME - MIDDLE INITIAL formtext       formtext       formtext   formcheckbox  MALE formcheckbox  FEMALEHEIGHT formtext    WEIGHT formtext    BLOOD TYPE formdropdown DATE OF BIRTH DAY MONTH YEAR  FORMTEXT      MAILING ADDRESS (Number and Street) formtext      APT formtext     CITY formtext      STATE formtext   ZIP CODE  FORMTEXT      HOME PHONE (formtext    ) formtext      Email address (This address may be used to contact you concerning CAP events, special interest items and other membership information)  FORMTEXT       NEXT OF KIN (Name and address) formtext       formtext      RELATIONSHIP:formdropdown PHONE: (formtext    )formtext      SCHOOL PRESENTLY ATTENDING (NAME AND ADDRESS) formcheckbox  Check here if Home Schooled formtext      GRADE formtext      MEMBER MOST RESPONSIBLE FOR YOUR JOINING CAP (OPTIONAL : For recruiting purposes) NAME CAPSN CHARTER NUMBER  FORMTEXT        FORMTEXT        FORMTEXT      To help us better serve our members, please tell us how you heard about Civil Air Patrol (check all that apply): FORMCHECKBOX  Air Show  FORMCHECKBOX  NASCAR Race Program  FORMCHECKBOX  CAP Member  FORMCHECKBOX  Friend  FORMCHECKBOX  Magazine  FORMCHECKBOX  Family Member FORMCHECKBOX  CAP Exhibit  FORMCHECKBOX  School  FORMCHECKBOX  Radio  FORMCHECKBOX  Television FORMCHECKBOX  Other (please name): formdropdown BACKGROUND INFORMATION:A. CITIZENSHIP 1) Are you a citizen of the United States? formdropdown  2) Are you an alien admitted for permanent residence? formdropdown  (Must possess current alien registration receipt card [Form I-151 or I-551]).B. IDENTIFICATION GROUP formcheckbox  WHITE formcheckbox  BLACK (NOT OF HISPANIC ORIGIN) formcheckbox  HISPANIC formcheckbox  ASIAN/PACIFIC ISLANDER formcheckbox  AMERICAN INDIAN/ALASKAN NATIVEC. PRIOR CAP MEMBERSHIP (WRITE NONE IF APPROPRIATE) formdropdown  FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT      Old Charter NumberMembership Date (From)Membership Date (To)Highest Cadet Award EarnedI hereby make application for cadet membership in Civil Air Patrol. I pledge that I will serve faithfully in the Civil Air Patrol Cadet Program and that I will attend meetings regularly, participate actively in unit activities, obey my officers, wear my uniform properly, and advance my education and training rapidly to prepare myself to be of service to my community, state, and nation.APPLICANT SIGNATUREDATE formtext      This application has my approval. I understand that my child may be flying in CAP aircraft and participating in vigorous outdoor activities. I agree to help support my child s efforts to attend official Civil Air Patrol functions and activities.PRINT PARENT OR LEGAL GUARDIAN FULL NAME formtext      SIGNATUREDATE formtext      To be completed by commander or designated representative: I certify that the applicant is accepted as a member of Civil Air Patrol subject to approval by higher headquarters with National Headquarters as the final approving authority. Membership becomes effective when this application is processed by National Headquarters and the individuals name appears on the National Headquarters database.CHARTER, UNIT NAME, AND ADDRESS formtext      PRINT FULL NAME formtext      SIGNATUREDATE formtext      A NOTE TO THE NEW CADET Congratulations on joining Civil Air Patrol! To fly in CAP aircraft and be credited for achievements in the Cadet Program, your application must be processed by CAP National Headquarters. So please rush this application and your check for dues to: NATIONAL HEADQUARTERS CAP/DP 105 S. HANSELL ST. MAXWELL AFB AL 36112-6332 CAP FORM 15, MAR 03 PREVIOUS EDITION MAY NOT BE USED AFTER 30 JUN 03 OPR/ROUTING: DP Free Cadet Uniform Voucher Attached HEALTH CERTIFICATE PARENTS EVALUATION The activities in which your child will participate while a member of CAP are generally comparable to those experienced in high school, including physical education activities. To assure the fullest degree of pleasure and success in Civil Air Patrol, the cadet should be healthy, both physically and mentally. If you mark NO in all the boxes below, your cadet will be placed in a Physical Fitness Category I, and will not require a physical examination. It you mark YES in any box, an examination by a physician is required. YES NO formcheckbox  formcheckbox  FREQUENT OR SEVERE HEADACHES formcheckbox  formcheckbox  DIZZINESS OR FAINTING SPELLS formcheckbox  formcheckbox  UNCONSCIOUSNESS FOR ANY REASON formcheckbox  formcheckbox  EYE TROUBLE (not correctable with glasses) formcheckbox  formcheckbox  HEART TROUBLE formcheckbox  formcheckbox  CHRONIC OR RECENT EAR TROUBLE formcheckbox  formcheckbox  HIGH OR LOW BLOOD PRESSURE formcheckbox  formcheckbox  SIGNIFICANT ABDOMINAL TROUBLE (INCLUDING HERNIA) UNLESS CORRECTED formcheckbox  formcheckbox  SUGAR OR ALBUMIN IN URINE formcheckbox  formcheckbox  EPILEPSY formcheckbox  formcheckbox  MENTAL OR NERVOUS DISORDER formcheckbox  formcheckbox  DRUG OR NARCOTIC HABIT formcheckbox  formcheckbox  EXCESSIVE DRINKING HABIT formcheckbox  formcheckbox  REJECTION FOR LIFE INSURANCE formcheckbox  formcheckbox  ASTHMA formcheckbox  formcheckbox  ALLERGIES formcheckbox  formcheckbox  OTHER LIMITATIONS I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE HEALTH OF THE APPLICANT IS AS SHOWN ABOVE.PARENT OR LEGAL GUARDIAN SIGNATUREDATE formtext      PHYSICIAN S CERTIFICATE (Required if  YES was marked in any box above) I certify that I have examined the applicant whose name appears hereon and that he/she does not possess physical limitations that would preclude participation in Civil Air Patrol as explained in the above parents evaluation. NOT RESTRICTED: Physically capable of full participation. TEMPORARILY RESTRICTED: Medical condition or injury is temporary in nature. PERMANENTLY RESTRICTED: Medical condition or injury is chronic or permanent in nature and individual is restricted from all Civil Air Patrol physical activities.PHYSICIANS SIGNATUREDATEPHYSICIANS ADDRESSPHYSICIANS PHONECAP FORM 15, MAR 03 PAGE 2 OF 4 CIVIL AIR PATROL FREE CADET UNIFORM VOUCHER. If you do not want the free uniform, do not complete this voucher for processing. Otherwise, follow the instructions below. If you have any questions, contact CAP NHQ/LGS at Comm 1-334-953-1501, DSN 493-1501 or e-mail logeqp@cap.gov. Return the voucher at page 4 with your membership application. You and one of your parents or legal guardians need to read the terms also at page 4 and sign in the space provided. Your squadron commander can answer your questions about the FCU program. HAT SIZE CONVERSION CHART Using a tailors tape measure, measure the circumference of the cadets head. Look for the approximate measurement on the chart and cross-reference to the appropriate cap size for women or men.APPROXIMATE MEASUREMENTWOMENS SIZEMENS SIZE20 1/8206 3/820 20 6 20 7/8216 5/821 6 21 5/821 6 7/82222722 3/87 1/822 22 7 23 1/8237 3/823 23 7 23 7/8247 5/824 7 24 5/824 7 7/825258FEMALE PANT/SKIRT SIZE CONVERSION CHART Using a tailors tape measure, measure the circumference of the cadets waist and hip. Look for the approximate measurement on the chart and cross-reference to the appropriate pant/skirt size. All measurements are in inches. To measure Short (S), Regular (R), Long (L): Sit cadet down on flat surface. Measure from the waist to the flat surface. Seven inches and shorter requires (S); 8 requires (R); 9 or longer requires (L) PANT/SKIRT SIZEWAIST CIRCUMFERENCEHIP CIRCUMFERENCE2M22 23 34 362W22 23 36 38 4M23 24 35 374W23 24 36 38 6M24 25 36 386W24 25 37 39 8M25 26 37 398W25 26 39 4110M26 2838 4010W26 2840 4212M28 29 39 41 12W28 29 41 43 14M30 31 41 43 14W30 31 43 45 16M31 3343 4516W31 3344 - 46 18M33 34 45 4718W33 34 46 4820M35 36 47 4920W35 36 48 5022M37 38 49 5122W37 38 50 52 Please Detach Here Please Detach Here Important Contact Numbers. You May Keep This Portion For Your Records For status of your cadet membership application call NHQ CAP/DPP at 877-227-9142. For status of your uniform voucher call the Army/Air Force Exchange Service [AAFES] at 800-5272345 or NHQ CAP/LGS at 334-953-2945. Be prepared to provide your CAPID shown on your membership card. If you need to return a uniform item or have a question about your return, please contact 210-674-0190, or mail: Lackland Military Clothing Sales Store 1520 Kirkland, Building 6659 San Antonio TX 78236. Your CAP identification number [CAPID], name, address and phone number will need to accompany all correspondence. Please do not contact the CAP Bookstore about the status of your voucher or uniform returns. Free Cadet Uniform [FCU] Voucher terms. Cadets and adults should understand the following: This program provides an opportunity for a new cadet to receive, at no cost to the cadet, a basic blue Air Force uniform (shirt, pants or skirt, belt and buckle, flight cap and shoes) valued at about $100, provided the unit commander approves the request and funds continue to be available in the program. Cadets are responsible for purchasing the CAP accessories (name tag, ribbons, grade insignia, hat device, etc.) required for proper wear of the uniform. To purchase accessories, contact the CAP Bookstore at 1- 800-633-8768. In the event the cadet withdraws from the cadet program (within the first year of membership), free uniform items must be returned (or replaced, if lost or damaged) to the local CAP unit. The parent assumes the responsibility on behalf of their minor child. The squadron commander must make every reasonable effort to retrieve these uniform items. These uniforms will not be sold, rented or given to anyone other than CAP cadets. The squadron commander will maintain the accountability of these uniforms with records that are available for audit. The uniforms will be mailed directly to the new cadet. (Exceptions will be handled by request on a case-by-case basis.) Please Detach Here Please Detach Here This Voucher Must Remain Attached To The New Member Application Form When Submitted FREE CADET UNIFORM VOUCHERFOR NHQ CAP/DP USE ONLY CAPID:Submitting a fraudulent voucher is illegal and individuals may be prosecuted. Incomplete vouchers will be returned to the cadet to complete. Please type/print all information.Ship to Name:Ship to Address:Contact Phone Number: FORMTEXT       FORMTEXT      ( FORMTEXT    )  FORMTEXT       Home ( FORMTEXT    ) FORMTEXT       Work ALL FIELDS FOR MALE/FEMALE MUST BE MARKED MALEFEMALE (Choose either Pants or Skirt)Shirt M202EPant Waist M202CShoe Size M206ACap M204GBlouse M212MPants M212DSkirt M212CShoe Size M110KCap M214G FORMCHECKBOX 13  FORMCHECKBOX 26 FORMCHECKBOX 39 FORMCHECKBOX 3 FORMCHECKBOX 9.5 FORMCHECKBOX 6 3/8 FORMCHECKBOX 2 FORMCHECKBOX 2 FORMCHECKBOX 2 FORMCHECKBOX 4 FORMCHECKBOX 10.5 FORMCHECKBOX 20 FORMCHECKBOX 14 FORMCHECKBOX 27 FORMCHECKBOX 40 FORMCHECKBOX 3.5 FORMCHECKBOX 10 FORMCHECKBOX 6  FORMCHECKBOX 4 FORMCHECKBOX 4 FORMCHECKBOX 4 FORMCHECKBOX 4.5 FORMCHECKBOX 11 FORMCHECKBOX 20  FORMCHECKBOX 14  FORMCHECKBOX 28 FORMCHECKBOX 42 FORMCHECKBOX 4 FORMCHECKBOX 10.5 FORMCHECKBOX 6 5/8 FORMCHECKBOX 6 FORMCHECKBOX 6 FORMCHECKBOX 6 FORMCHECKBOX 5 FORMCHECKBOX 11.5 FORMCHECKBOX 21 FORMCHECKBOX 15 FORMCHECKBOX 29 FORMCHECKBOX 44 FORMCHECKBOX 4.5 FORMCHECKBOX 11 FORMCHECKBOX 6  FORMCHECKBOX 8 FORMCHECKBOX 8 FORMCHECKBOX 8 FORMCHECKBOX 5.5 FB^`      $ & ( * z | ſŢſŢſŢſſuŢſſjoh`<CJUjh`<CJUjh`<CJUjh`CJUmHnHujh`CJU h`CJjh`CJUh`56CJh`CJOJQJh`CJOJQJh`CJOJQJh`5OJQJ)B` ( aSJJ $$Ifa$$dL($Ifa$kd$$IfTlFe'6  0    4 laT($If $($Ifa$233( * z  F T v tnndjVjH? $$Ifa$l$If]l^$If]^ $If^$IfkdH$$IfTleFe'6  0    4 laT      2 4 6 F T V h j l r t v  ͿͮͿ͓͝~͓o͓b͓jh`CJUjh`<CJUj&h`<CJU h`CJh`CJOJQJ!jh`CJOJQJU!j>h`CJOJQJUjh`CJOJQJUh`CJOJQJjh`CJUmHnHujh`CJUjh`<CJU&v  B $$If^a$ V$If^ $If`$~$If]~^a${$If]{^ $$Ifa$$If]^  0 2 4 > @ B    . 0 2 6 8 : L N b d f p r ȾȾȾȾȾuj h`CJUj h`<CJUjr h`<CJUjh`<CJUjjh`<CJUh`CJOJQJh`CJOJQJjh`CJUmHnHujh`CJU h`CJjh`CJU.B D ;5,5 d8$If$Ifkd$$IfTlֈlz e'n804 laT   : L t $If$If r t  RTfhjtvxzܮܖ܇xph`OJQJjJh`<CJUjh`<CJUjR h`CJUh`6CJOJQJj h`<CJUjh`CJUmHnHujD h`<CJU h`CJjh`CJUh`CJOJQJh`CJOJQJ* ;5) $If$IfkdR $$IfTlֈPz e'M*804 laTxpPSpPS v:$If d$If d($IfdkdP$$IfTl e''04 laT $&(248 *,>¸¸s̸d̸jh`<CJU!jrh`CJOJQJUj6h`<CJUjh`CJUmHnHujh`<CJU h`CJjh`CJUh`CJOJQJh`CJOJQJ!jh`CJOJQJUh`CJOJQJjh`CJOJQJU%6p~r j _<$If$Ifzkd$$IfTl40e'`H 04 laf4T68*P||||<$Ifzkd$$IfTl40e'  04 laf4T>@BLNP  *,@BDNPRThjlvxz|BøÕÕ珂~qk^øjph`CJU h`CJjh`CJUh`jh`CJU h`CJh`>*CJOJQJh`6CJOJQJh`56CJOJQJh`5CJOJQJh`CJOJQJh`CJOJQJjh`CJUmHnHujh`CJUjh`<CJU$PR*qe $If <$If<$Ifwkd$$IfTl0"e'"04 laTCD+dkd$$IfTle''04 laT PP$IfdkdH$$IfTle''04 laTBDESTU_`nop޼ޫޚމxm\!jJh`CJOJQJUh`5CJOJQJ!jh`CJOJQJU!jZh`CJOJQJU!jh`CJOJQJU!jjh`CJOJQJU!jh`CJOJQJU!jzh`CJOJQJUh`CJOJQJjh`CJOJQJUh`CJOJQJ$D_-Eb^^^^^^^^^^ H$If]^H H$If]^H H<$If]^H $If]^ <$If]^ #$%-.<=>EFTUVabcdestuwfwYYh`56CJOJQJ!jwh`CJOJQJUh`CJOJQJjh`CJOJQJU!jh`CJOJQJUh`CJOJQJh`5CJOJQJ!jh`CJOJQJU!j:h`CJOJQJU!jh`CJOJQJUjh`CJOJQJUh`CJOJQJ!bcdwp\X^\ j H$If]^H <$If]^zkd*$$IfTl4j0ze'`04 laf4Tqөi($Ifkd $$IfTl4Fze' + 0    4 laf4T@px  (($If (($If$Ifdkd!$$IfTle''04 laT;<=JKLOlbTbCT!j`$h`CJOJQJUjh`CJOJQJUh`CJOJQJ$j#h`5CJOJQJUh`5CJOJQJjh`5CJOJQJUh`56CJOJQJ]h`56CJOJQJh`@CJOJQJh`j#h`>*Uj@"h`>*U h`>*jh`>*Uh`CJOJQJh`OJQJ  &'(@ANOPopq}rh^YL^Dh`OJQJj('h`>*U h`>*jh`>*Uh`CJOJQJh`5CJOJQJh`56CJOJQJ]h`56CJOJQJ$j%h`5CJOJQJUh`5CJOJQJjh`5CJOJQJU!jP%h`CJOJQJU!j$h`CJOJQJUjh`CJOJQJUh`CJOJQJpqs+d$$If]^+zkdB&$$IfTl4*0<e'$04 laf4T<>@hjl($If$d$($If]a$dkd'$$IfTle''04 laT   *,.8:<@BVXZdfhlnLNλ٦Γ٦΀٦m٦_h`6CJOJQJ\]$j)h`CJOJQJU\$jv)h`CJOJQJU\$j)h`CJOJQJU\)jh`CJOJQJU\mHnHu$j(h`CJOJQJU\h`CJOJQJ\jh`CJOJQJU\h`>*CJOJQJ\h`CJOJQJ%L+d$(<$If]^+Ff,$d$$If]a$LN,aN$d$<$If]^$kdd/$$IfTl\e'L   04 laTN,-AFGPQ  PRdfhrtv04ײײufײ[uuh`5CJOJQJj2h`<CJUh`CJOJQJj2h`<CJUh`@CJOJQJh`@CJOJQJh`@CJOJQJjh`CJUmHnHuj0h`<CJU h`CJjh`CJUh`5CJOJQJ\h`CJOJQJh`OJQJ#,-AF$If $If^dkdb0$$IfTlFe''04 laTdkd1$$IfTle''04 laT$IfwkdT1$$IfTl0 e'B!04 laTPv`X<$Ifkd@3$$IfTlF e'b0    4 laT$If $If^  -dkd4$$IfTle''04 laT$Ifdkd3$$IfTle''04 laT  0 2 D F H R T V t v _""""#%#ܤܕ쏳{lZ"h`56CJOJQJ\]^Jh`5CJOJQJ\^Jh`5CJOJQJh`5OJQJ h`CJj5h`<CJUjX5h`<CJUh`CJOJQJjh`CJUmHnHujt4h`<CJU h`CJjh`CJUh`CJOJQJh`CJOJQJ  0 V j t _"nh&v:W&!$d$$If]^$$Ifkd6$$IfTlF e'b0    4 laT$If_"|"""""#%#&#&v:&v:&v:&Rn\M 4d($If @ &hLd^h`L @ &hd^h`gkd6$$IfTl4Ie''04 laf4T Y$If $$If^a$%#&#'#:#N#_%g%h%i%v%w%x%y%z%%%%%%%%%%%%%%%%%%%%%%%&罳罳o罳^!j9h`CJOJQJU!jp9h`CJOJQJU!j8h`CJOJQJU!j8h`CJOJQJU!j8h`CJOJQJUh`CJOJQJjh`CJOJQJUh`CJOJQJh`OJQJh` h`CJh`CJOJQJh`5CJOJQJ\^J$&#'#:#N#_%g%%eK$ .<$If].^a$$ T.x$If].^a$$2x$If]2^`a$$Ifbkdn7$$IfTl4`''04 laf4T%%)&w&&&'''''3(m((()@)u))$ .x$If].^a$$ .$If].^a$&& &)&*&+&8&9&:&;&<&I&J&K&X&v&w&x&y&&&&&&&&&&&&&&&&&&ֻ֪֟֎}l!j<h`CJOJQJU!j(<h`CJOJQJU!j;h`CJOJQJUh`6CJOJQJ!j@;h`CJOJQJU!j:h`CJOJQJUh`CJOJQJh`CJOJQJjh`CJOJQJU!jX:h`CJOJQJU#&&&&&&&&&&& ' ' '''(')'6'7'8'9':'G'H'I''''''''''''''''ֻ֪֙ֈwf!j?h`CJOJQJU!jT?h`CJOJQJU!j>h`CJOJQJU!jl>h`CJOJQJU!j=h`CJOJQJU!j=h`CJOJQJUh`CJOJQJh`CJOJQJjh`CJOJQJU!j=h`CJOJQJU''''''''''''((((((((3(4(5(B(C(D(E(F(S(T(U(m(n(o(|(}(~((((ֻֻ֪֙ֈwֻf!jBh`CJOJQJU!jBh`CJOJQJU!j Bh`CJOJQJU!jAh`CJOJQJU!j$Ah`CJOJQJUh`CJOJQJ!j@h`CJOJQJUh`CJOJQJjh`CJOJQJU!j<@h`CJOJQJU&(((((((((((((((((((((( ) ) ))))")#)$)%)&)3)4)5)@)A)B)O)ֻ֪֙ֈwf!j Fh`CJOJQJU!jEh`CJOJQJU!j8Eh`CJOJQJU!jDh`CJOJQJU!jPDh`CJOJQJU!jCh`CJOJQJUh`CJOJQJh`CJOJQJjh`CJOJQJU!jhCh`CJOJQJU'O)P)Q)R)S)`)a)b)u)))**(***,*6*8*<*j*l**H,I,J,ֽzoeZPEPh`>*CJOJQJh`CJOJQJh`5CJOJQJh`CJOJQJh`5CJOJQJjh`CJUmHnHuj"Hh`<CJU h`CJjh`CJUh`CJOJQJh`CJOJQJh`OJQJ!jGh`CJOJQJUh`CJOJQJjh`CJOJQJU!jFh`CJOJQJU)) **:*$Ifbkd|G$$IfTl4`''04 laf4T:*<*l**H,,~s`I$ $If]^a$$P$If]^a$ $P$Ifa$ $x$Ifa$ukdH$$IfTl40 `'!04 laf4TJ,Z,,,,,,,,,,,,v-w-x---....//0001ƻ杄zvkckckvZTZT h`CJh`5CJ\h`@CJh`5@CJ\h`h`CJOJQJh`CJOJQJh`5@CJOJQJ\h`CJOJQJh`>*CJOJQJh`OJQJ\h`CJOJQJ\h`5CJOJQJh`>*CJOJQJh`CJOJQJh`@CJOJQJh`5@CJOJQJ,,w-x---jbb$Ifbkd0I$$IfTl4c`''04 laf4T$$If]^`a$$ 2 $If]^2 `a$----($IfukdI$$IfTl40 `'!04 laf4T---//00~wcjQjd$&`#$/Ifb$$<$&`#$/Ifa$b$$a$ VukdZJ$$IfTl40`'Rz 04 laf4T0000011` junjunju0ju0j$&`#$/Ifb$$&`#$/Ifb$kkdJ$$Ifl4/V 6`064 lae4f411111rcjcnjc0j$&`#$/Ifb$kdK$$IflFN VtF 6`06    4 lae4111"1&1ricjcnjc0j$&`#$/Ifb$kdHL$$IflFN VtF 6`06    4 lae4&1'1.11171ricjcnjc0j$&`#$/Ifb$kdM$$IflFN VtF 6`06    4 lae47181=1>1B1ricjcnjc0j$&`#$/Ifb$kdM$$IflFN VtF 6`06    4 lae4B1C1J1O1U1ricjcnjc0j$&`#$/Ifb$kdpN$$IflFN VtF 6`06    4 lae4U1V1Y1\1^1ricjcnjc0j$&`#$/Ifb$kd(O$$IflFN VtF 6`06    4 lae4^1_1f1g1m1ricjcnjc0j$&`#$/Ifb$kdO$$IflFN VtF 6`06    4 lae4m1n1s1x1|1ricjcnjc0j$&`#$/Ifb$kdP$$IflFN VtF 6`06    4 lae4|1}1111ricjcnjc0j$&`#$/Ifb$kdPQ$$IflFN VtF 6`06    4 lae411111ricjcnjc0j$&`#$/Ifb$kdR$$IflFN VtF 6`06    4 lae411111ricjcnjc0j$&`#$/Ifb$kdR$$IflFN VtF 6`06    4 lae411111ricjcnjc0j$&`#$/Ifb$kdxS$$IflFN VtF 6`06    4 lae411111ricjcnjc0j$&`#$/Ifb$kd0T$$IflFN VtF 6`06    4 lae411111ricjcnjc0j$&`#$/Ifb$kdT$$IflFN VtF 6`06    4 lae4111133666$66676I6J6666667:7H7Z7i777777788v88E9F9G9999umdh`5CJaJh`CJaJh`56CJ\] h`CJh`>*CJaJh`CJ\aJh`5CJaJh`CJaJh`5CJ\aJh`5>*CJ\aJh`56CJ\]h`56CJ\] h`CJh`h`5CJ\ h`CJjh`UmHnHu'11133piWjFjFj$#&#$/Ifb$$d<$#&#$/Ifa$b$kdU$$IflFN VtF 6`06    4 lae433333333O TjwTjfTjWTjf jW j$#&/Ifb$$#&#$/Ifb$ $#&/If$#&#$/Ifb$kkdyV$$Ifl4X  6#064 lae4f433333sbTjbTjb j$#&#$/Ifb$kdW$$IflFX , , l 6#06    4 lae433344sibTjbTjb j$#&#$/Ifb$kdW$$IflFX , , l 6#06    4 lae4444"4*4sibTjbTjb j$#&#$/Ifb$kd~X$$IflFX , , l 6#06    4 lae4*4+4.484D4sibTjbTjb j$#&#$/Ifb$kd1Y$$IflFX , , l 6#06    4 lae4D4E4H4R4Z4sibTjbTjb j$#&#$/Ifb$kdY$$IflFX , , l 6#06    4 lae4Z4[4^4h4t4sibTjbTjb j$#&#$/Ifb$kdZ$$IflFX , , l 6#06    4 lae4t4u4x444sibTjbTjb j$#&#$/Ifb$kdJ[$$IflFX , , l 6#06    4 lae444444sibTjbTjb j$#&#$/Ifb$kd[$$IflFX , , l 6#06    4 lae444444sibTjbTjb j$#&#$/Ifb$kd\$$IflFX , , l 6#06    4 lae444444sibTjbTjb j$#&#$/Ifb$kdc]$$IflFX , , l 6#06    4 lae444444sibTjbTjb j$#&#$/Ifb$kd^$$IflFX , , l 6#06    4 lae444455sibTjbTjb j$#&#$/Ifb$kd^$$IflFX , , l 6#06    4 lae4555'555sibTjbTjb j$#&#$/Ifb$kd|_$$IflFX , , l 6#06    4 lae45565:5F5T5sibTjbTjb j$#&#$/Ifb$kd/`$$IflFX , , l 6#06    4 lae4T5U5Y5e5o5sibTjbTjb j$#&#$/Ifb$kd`$$IflFX , , l 6#06    4 lae4o5p5t555sibTjbTjb j$#&#$/Ifb$kda$$IflFX , , l 6#06    4 lae455555sibTjbTjb j$#&#$/Ifb$kdHb$$IflFX , , l 6#06    4 lae455555sibTjbTjb j$#&#$/Ifb$kdb$$IflFX , , l 6#06    4 lae455555sibTjbTjb j$#&#$/Ifb$kdc$$IflFX , , l 6#06    4 lae455555sibTjbTjb j$#&#$/Ifb$kdad$$IflFX , , l 6#06    4 lae455555sibTjbTjb j$#&#$/Ifb$kde$$IflFX , , l 6#06    4 lae456666sibTjbTjb j$#&#$/Ifb$kde$$IflFX , , l 6#06    4 lae4666666666 6!6sijeccceeZZ 5dd  dkdf$$IflFX , , l 6#06    4 lae4 !6"6$6J6667F9G99:;==V>|>~>p5v:p5v:p5Rp5jp5jp5jp5p5p5p5p5p5p5p5v: 4 5d8 & F hhd8^h & F hhd8^h 4d8dh`h p5  p5x  p5dx 5d9:q:===U>V>h>i>{>|>~>>?????????@@@ @"@$@üxl]lLl!jh`U]aJmHnHuj>>? ??????????p5.5<$IfFfi (($If $(($Ifa$ (($If$a$ ??????ò'v:Jv: v:v:$If$If\kdl$$If55J504a??$@L@t@v@@@@@gu:a[Jv:av:av:a|v:a|v:av:a$If$Ifkd@m$$If4\.([255Cf 04af4 $@&@:@<@>@H@J@N@P@d@f@h@n@p@t@v@x@@@@@@@@@@@@@@@@@@@@@@@񺮺箺u纮fj&qh`U]aJh`56\aJjoh`U]aJ!jh`U]aJmHnHuj$oh`U]aJjh`U]aJ h`]aJ'jh`5U\]aJmHnHu"jnh`5U\]aJh`5\]aJjh`5U\]aJ&@@@@@AARLFLv:L|v:Lv:$If$Ifkdo$$If4r.(+[255`C`f/04af4@@@@AAAdAfAAAAA BBBB B&B,B2B8B>BHBNBRBYBZBhBiBjBoBpB~BBBBBBüyjjwh`CJUaJjZwh`CJUaJh`CJaJjh`CJUaJ h`CJh`5CJ\aJh`5CJ\aJh` h`5\h`56\aJ h`]aJ!jh`U]aJmHnHujh`U]aJjqh`U]aJ&AAfApAAR-Lp5v:=j=j$& #$/Ifb$ Hkdq$$If4qr.(+[255 C f/04af4AAAAAA BBBB B&B,BXNpsjpsRpjjRpjpRpjpRp jp Rpsj $If$& #$/Ifb$kds$$Ifs40 '}       6 0-(4 sae4f4 ,B2B8B>BHBNBRBXBYBoBBBBBBBBC"C8CLCMCaCuCCCCsRsjsRjRtjtRsjsjsjsjsjj jsjsjjjtjisjsjsjsjsjFfy~FfVu$& #$/Ifb$BBBBBBBBBBBBBBBBBBBBBBBBBBBBBB C C CCCCC C"C#C1Cܾܯܠܑ܂sj{h`CJUaJj {h`CJUaJjzh`CJUaJjzh`CJUaJjyh`CJUaJj0yh`CJUaJjxh`CJUaJh`CJaJjh`CJUaJjDxh`CJUaJ(1C2C3C8C9CGCHCICMCNC\C]C^CaCbCpCqCrCuCvCCCCCCCCCCCCCCCCCCCCCCܾܯܠܑ܂sj;h`CJUaJjłh`CJUaJjOh`CJUaJjفh`CJUaJjch`CJUaJjh`CJUaJjr|h`CJUaJh`CJaJjh`CJUaJj{h`CJUaJ(CCCCDD)D?D@DVDjD~DDDDDDD E E4E5EIE]EqEEEj jsjsjjjtjisjsjsjsjsjj jsjsjjjtjisjsjsjsjsjFfFf$& #$/Ifb$CCCCCCCCCCCCCDDDDDDD$D%D&D)D*D8D9D:D@DADODPDQDVDWDeDfDgDjDkDyDܾܯܠܑ܂sjh`CJUaJjh`CJUaJjh`CJUaJjh`CJUaJjh`CJUaJjh`CJUaJj'h`CJUaJh`CJaJjh`CJUaJjh`CJUaJ(yDzD{D~DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDEEE E EEܾܯܠܑ܂sjh`CJUaJj4h`CJUaJjh`CJUaJjFh`CJUaJjЌh`CJUaJjZh`CJUaJjh`CJUaJh`CJaJjh`CJUaJjnh`CJUaJ(EEE E!E/E0E1E5E6EDEEEFEIEJEXEYEZE]E^ElEmEnEqErEEEEEEEEEEEEEEEEEܾܯܠܑ܂sjeh`CJUaJjh`CJUaJjyh`CJUaJjh`CJUaJjh`CJUaJjh`CJUaJjh`CJUaJh`CJaJjh`CJUaJj$h`CJUaJ(EEEEEE('(((>(R(f(y(((((((( ) ))3)4)I)])j jsjsjjjtjisjsjsjsjsjj jsjsjjjtjisjsjsjsjsjFfUFf8$& #$/Ifb$EEEEEEEEEEEEEEEEEEEEF( ( (((( (!("((()(7(8(9(>(?(M(N(O(R(S(a(ܾܯܭܞ܏܀qj"h`CJUaJjh`CJUaJj1h`CJUaJjh`CJUaJUjAh`CJUaJjɗh`CJUaJjQh`CJUaJh`CJaJjh`CJUaJjۖh`CJUaJ*ORMCHECKBOX 12 FORMCHECKBOX 21  FORMCHECKBOX 15  FORMCHECKBOX 30 FORMCHECKBOX 46 FORMCHECKBOX 5 FORMCHECKBOX 11.5 FORMCHECKBOX 6 7/8 FORMCHECKBOX 10 FORMCHECKBOX 10 FORMCHECKBOX 10 FORMCHECKBOX 6 FORMCHECKBOX 22 FORMCHECKBOX 16 FORMCHECKBOX 31 FORMCHECKBOX 5.5 FORMCHECKBOX 12 FORMCHECKBOX 7 FORMCHECKBOX 12 FORMCHECKBOX 12 FORMCHECKBOX 12 FORMCHECKBOX 6.5 FORMCHECKBOX 22  FORMCHECKBOX 16  FORMCHECKBOX 32 FORMCHECKBOX 6 FORMCHECKBOX 12.5 FORMCHECKBOX 7 1/8 FORMCHECKBOX 14 FORMCHECKBOX 14 FORMCHECKBOX 14 FORMCHECKBOX 7 FORMCHECKBOX 23 FORMCHECKBOX 17 FORMCHECKBOX 33 FORMCHECKBOX 6.5 FORMCHECKBOX 13 FORMCHECKBOX 7  FORMCHECKBOX 16 FORMCHECKBOX 16 FORMCHECKBOX 16 FORMCHECKBOX 7.5 FORMCHECKBOX 23  FORMCHECKBOX 17  FORMCHECKBOX 34 FORMCHECKBOX 7 FORMCHECKBOX 13.5 FORMCHECKBOX 7 3/8 FORMCHECKBOX 18 FORMCHECKBOX 18 FORMCHECKBOX 18 FORMCHECKBOX 8 FORMCHECKBOX 24 FORMCHECKBOX 18 FORMCHECKBOX 35 FORMCHECKBOX 7.5 FORMCHECKBOX 14 FORMCHECKBOX 7  FORMCHECKBOX 20 FORMCHECKBOX 20 FORMCHECKBOX 20 FORMCHECKBOX 8.5 FORMCHECKBOX 24  FORMCHECKBOX 18  FORMCHECKBOX 36 FORMCHECKBOX 8 FORMCHECKBOX 14.5 FORMCHECKBOX 7 5/8 FORMCHECKBOX 22 FORMCHECKBOX 22 FORMCHECKBOX 9 FORMCHECKBOX 25 FORMCHECKBOX 19 FORMCHECKBOX 37 FORMCHECKBOX 8.5 FORMCHECKBOX 15 FORMCHECKBOX 7  FORMCHECKBOX 9.5 FORMCHECKBOX 38 FORMCHECKBOX 9 FORMCHECKBOX 7 7/8 FORMCHECKBOX 10Buckle M208E1Belt M208G2Pant Length Shoe WidthPant/Skirt LengthBelt M208E1Buckle M208G2Shoe Width FORMTEXT X FORMTEXT X FORMCHECKBOX XS FORMCHECKBOX L FORMCHECKBOX  C Narrow FORMCHECKBOX  EEE X-Wide No 3-5.5 FORMCHECKBOX MS FORMCHECKBOX WS FORMTEXT X FORMTEXT X FORMCHECKBOX A Narrow No 4-5.5 FORMCHECKBOX B Medium FORMCHECKBOX S FORMCHECKBOX XL FORMCHECKBOX D Regular FORMCHECKBOX MR FORMCHECKBOX WR FORMCHECKBOX C Wide FORMCHECKBOX E X-Wide No 4-4.5 FORMCHECKBOX R FORMCHECKBOX E Wide FORMCHECKBOX ML FORMCHECKBOX WLThe signatures below acknowledge that the uniform request accompanies an application for a new cadet membership in Civil Air Patrol, that all signatories agree to all terms of the FCU voucher listed on the detachable section above, and that the information listed on the voucher is correct. Cadets Signature and Date Parents or Legal Guardians Signature and Date Signature of the Squadron/Deputy Commander for Cadets and Date  CAP FORM 15, MAR 03 FREE CADET UNIFORM VOUCHER INSTRUCTIONS PAGE 3 OF 4 Free Cadet Uniform Voucher Page 3 of 4 CAP FORM 15, MAR 03 FREE CADET UNIFORM VOUCHER PAGE 4 OF 4 a(b(c(f(g(u(v(w(y(z((((((((((((((((((((((((((((((()ܾܯܠܑ܂sj֡h`CJUaJj^h`CJUaJjh`CJUaJjph`CJUaJjh`CJUaJjh`CJUaJjh`CJUaJh`CJaJjh`CJUaJjh`CJUaJ())) ) ))))) ).)/)0)4)5)C)D)E)I)J)X)Y)Z)])^)l)m)n)p)q))))))))))))ܾܯܠܑ܂sjh`CJUaJjh`CJUaJjh`CJUaJj+h`CJUaJjh`CJUaJj?h`CJUaJj˦h`CJUaJh`CJaJjh`CJUaJjNh`CJUaJ(])p)))))))))***-*D*X*l***********j jsjsjjjtjisjsjsjsjsjj jsjsjjjtjisjsjsjsjsjFfFf$& #$/Ifb$))))))))))))))))))))))********&*'*(*-*.*<*=*>*D*E*S*ܾܯܠܑ܂sjHh`CJUaJjҰh`CJUaJj\h`CJUaJjh`CJUaJjrh`CJUaJjh`CJUaJj}h`CJUaJh`CJaJjh`CJUaJjh`CJUaJ(S*T*U*X*Y*g*h*i*l*m*{*|*}*****************************ܾܯܠܑ܂sjh`CJUaJjh`CJUaJjh`CJUaJjh`CJUaJj$h`CJUaJjh`CJUaJj4h`CJUaJh`CJaJjh`CJUaJjh`CJUaJ(***** + + ++++ +!+$+%+3+4+5+8+9+G+H+I+L+M+[+\+]+b+c+q+r+s+y+z+++++++ܾܯܠܑ܂sjh`CJUaJjCh`CJUaJj˻h`CJUaJjSh`CJUaJjۺh`CJUaJjeh`CJUaJjh`CJUaJh`CJaJjh`CJUaJjyh`CJUaJ(*+$+8+L+a+b+x+y++++++++ , ,3,4,H,I,],q,r,,,j jsjsjjjtjisjsjsjsjsjj jsjsjjjtjisjsjsjsjsjFfFfJ$& #$/Ifb$+++++++++++++++++++++++++,, , , ,,,, ,!,/,0,1,4,5,C,ܾܯܠܑ܂sjth`CJUaJjh`CJUaJjh`CJUaJjh`CJUaJjh`CJUaJj"h`CJUaJjh`CJUaJh`CJaJjh`CJUaJj6h`CJUaJ(C,D,E,I,J,X,Y,Z,],^,l,m,n,r,s,,,,,,,,,,,,,,,,,,,,,,,,,,,ܾܯܠܑ܂sj-h`CJUaJjh`CJUaJjAh`CJUaJjh`CJUaJjUh`CJUaJjh`CJUaJjih`CJUaJh`CJaJjh`CJUaJjh`CJUaJ(,,,,,----/-C-D-W-m------------.(.j jsjsjjjtjisjsjsjsjsjj jsjsjjjtjisjsjsjsjsjFfFf$& #$/Ifb$,,,,,,,,-------(-)-*-/-0->-?-@-D-E-S-T-U-W-X-f-g-h-m-n-|-}-~----ܾܯܠܑ܂sjh`CJUaJjth`CJUaJjh`CJUaJjh`CJUaJjh`CJUaJjh`CJUaJjh`CJUaJh`CJaJjh`CJUaJjh`CJUaJ(-----------------------------......#.$.%.(.).7.ܾܯܠܑ܂sjh`CJUaJj1h`CJUaJjh`CJUaJjEh`CJUaJjh`CJUaJjPh`CJUaJjh`CJUaJh`CJaJjh`CJUaJj`h`CJUaJ(7.8.9.@.A.O.P.Q.Y.Z.h.i.j.n.o.}.~................../ ////ܾܯܠܑ܆{{{{h`5CJ\aJh`5CJ\aJjrh`CJUaJjh`CJUaJjh`CJUaJjh`CJUaJjh`CJUaJh`CJaJjh`CJUaJjh`CJUaJ&(.=.>.?.@.U.V.W.X.Y.m.n................j jsjsjjjtjisjsjsjsjsjj jsjsjjjtjisjsRsjsRjFfyFf$& #$/Ifb$...../ ///j3jejsjsRjR"j$& #$/Ifb$//kd$$Ifs4ִ? U 'Y Y K Y  6 0-(    4 sae4f4//(/)/*/+/,/-/./8/9/:/;//L/M/N/Q/R/`/a/b/d/e/s/պ{ogXogogIogogjh`CJUaJjJh`CJUaJh`CJaJjh`CJUaJ4jh`5CJU\aJehrh`5CJ\aJ0h`5CJ\aJehmHnHru4j^h`5CJU\aJehr%h`5CJ\aJehr.jh`5CJU\aJehr/-/=/Q/d/x/////////000#0*0+0,0-0@0T0g0o0p00sssjsjUjUjjjj jsjsjjjjj=sjsjsjsjUjUjj jFf$& #$/Ifb$s/t/u/////////////////////////ܾܯܗiPEh`5CJ\aJ0h`5CJ\aJehmHnHru4jh`5CJU\aJehr%h`5CJ\aJehr.jh`5CJU\aJehrjh`CJUaJj*h`CJUaJjh`CJUaJh`CJaJjh`CJUaJj:h`CJUaJ///////////0000 0!0-0.0<0=0>0@0A0O0ѹrdUFjh`CJUaJj~h`CJUaJh`@CJOJQJaJjh`CJUaJh`CJaJjh`CJUaJh`5CJ\aJ0h`5CJ\aJehmHnHru.jh`5CJU\aJehr4jh`5CJU\aJehr%h`5CJ\aJehrO0P0Q0T0U0c0d0e0p0q00000000000000000000000000000111ܾܯܠܑ܂sjh`CJUaJjHh`CJUaJjh`CJUaJjSh`CJUaJjh`CJUaJjch`CJUaJjh`CJUaJh`CJaJjh`CJUaJjsh`CJUaJ(00000000000000111-1.1/1011121W2X2sjsjjjjjjj=sjsjsjsjUjj jsjsjjjj' v: v:%$If%$IfFfFf$If$& #$/Ifb$11111(1)1*121Y2Z2u2w2x22222222223-3:3=3Y3e3f3{33333ɸɸɸɱɧɘvlɘɧh`OJQJ^Jh`56OJQJ\]^J"h`56CJOJQJ\]^Jh`5CJOJQJ\^Jh`56\] h`5\ jh`5U\mHnHuh`jh`CJUaJh`CJaJjh`CJUaJj8h`CJUaJ"X2Y2u2v2w22222222222 v: v: v: v: v: v: v: v: v:iZ6`'v:# p5 <`kd5$$IflN  064 la d<$If%$If2:3;3<3=3e3f33333333p5jp5v:p5j p5 # !.# !"# !< &P/ =!8"8#$% &P/ =!8"8#8$8%* 0&P0/R = /!8"8#8$8%* 0&P0/R = /!8"8#8$8%'&P0/R = /!8"8#$8%2 0&P0/R = /!8"8#$8%0p5$$If!vh565 5 #v6#v #v :V l0565 5 / / 4TDSSN UPPERCASE1Enter your social security number WITHOUT hyphensD SSN Uppercase1Enter your social security number WITHOUT hyphens$$If!vh565 5 #v6#v #v :V le0565 5 / 4TiDLNAME UppercaseiDFNAME UppercasefDMI UppercasetDeCheck3tDeCheck4tD HEIGHT0Height in INCHES tD WEIGHT0Weight in POUNDS Df Bloodtype  O+O-A+A-B+B-AB+AB-DDOBd-MMM-yyEnter your date of birth $$If!vh55n55585#v#vn#v#v8#v:V l0,55n55854TDADDRESS UppercaseEnter your permanent address DAPT UppercaseEnter apartment number DCITY UppercaseEnter your permanent cityDSTATE Uppercase(Enter your permanent 2-letter state codeD ZIP UPPERCASEEnter your permanent ZIP code DAREACODE&Enter your home phone number area codeDPHONE UppercaseEnter your home phone number$$If!vh5M555*585#vM#v#v#v*#v8#v:V l05M555*585/ 4TDREF_NAME UPPERCASE9Name of person who referred you to Civil Air Patrol, Inc.$$If!vh5'#v':V l 05'4TvDKIN_NAMEName of next of kin|D KIN_ADDRESSAddress of next of kin6DfKIN_TYPE&Choose the relationship of this person PARENT GRANDPARENTSIBLINGOTHERFRIENDSPOUSE$$If!vh5H5 #vH#v :V l40+5H5 / 4f4TDKIN_AC&Enter your home phone number area codeD KIN_PHONE UppercaseEnter your home phone number$$If!vh5H5 #vH#v :V l40+5 5 / 4f4TtDeCheck3DSCHOOL Uppercase/Name and address of school you presently attendD SCHOOL_GRADE Uppercase!Highest grade completed in school$$If!vh5"5#v"#v:V l05"5/ 4TDREF_NAME UPPERCASE9Name of person who referred you to Civil Air Patrol, Inc.DCAPSN UPPERCASECAPSN of referring member D REF_CHARTER UPPERCASE#Charter number of referring member $$If!vh5'#v':V l05'/ 4T$$If!vh5'#v':V l05'/ / 4TxDeCheck180xDeCheck181xDeCheck182xDeCheck183xDeCheck184xDeCheck185xDeCheck186xDeCheck187xDeCheck188xDeCheck189$$If!vh55#v#v:V l4j0+5/ / / / 4f4TxDeCheck1906DfKIN_TYPE&Choose the relationship of this person PARENT GRANDPARENTSIBLINGOTHERFRIENDSPOUSE$$If!vh5505 #v#v0#v :V l40+55+5 / / / / 4f4T$$If!vh5'#v':V l05'/ / 4TDfCITIZEN Are you a United States Citizen? YESNODfCITIZEN Are you a United States Citizen? YESNOxDeCERT_STUxDeCERT_IFRxDeCERT_CFIzDe CERT_CFIGxDeCERT_PVT$$If!vh55)#v#v):V l4*055$/ / / / / 4f4TDfCITIZEN Are you a United States Citizen? YESNO$$If!vh5'#v':V l05'/ 4TtDText2tDText3tDText4tDText5$$If!v h555555555 5 5  5 #v#v#v#v#v#v#v#v#v #v #v #v :V l0555555555 5 5  5 /  / / / / / / / / / / / / /  / / / / / / / 4Thkd^*$$IfTl  &' 000004 laT$$If!vh5L5 5 5 #vL#v #v :V l05L5 5 /  / / / / 4T$$If!vh5'#v':V lF05'/ 4T`DText1$$If!vh5B!5#vB!#v:V l05B!5/ 4T$$If!vh5'#v':V l05'4T`DText1`DText1$$If!vh5b55#vb#v#v:V l05b554T$$If!vh5'#v':V l05'4T`DText1$$If!vh5'#v':V l05'4T`DText1`DText1$$If!vh5b55#vb#v#v:V l05b55/ 4T$$If!vh5'#v':V l4I05'/ 4f4T$$If!vh5'#v':V l405'/  / 4f4TtDeCheck1tDeCheck2tDeCheck1tDeCheck2tDeCheck1tDeCheck2tDeCheck1tDeCheck2tDeCheck1tDeCheck2tDeCheck1tDeCheck2tDeCheck1tDeCheck2tDeCheck1tDeCheck2tDeCheck1tDeCheck2tDeCheck1tDeCheck2tDeCheck1tDeCheck2tDeCheck1tDeCheck2tDeCheck1tDeCheck2tDeCheck1tDeCheck2tDeCheck1tDeCheck2tDeCheck1tDeCheck2tDeCheck1tDeCheck2$$If!vh5'#v':V l405'/ / 4f4T`DText1$$If!vh5!5#v!#v:V l405!5/ 4f4T$$If!vh5'#v':V l4c05'4f4T$$If!vh5!5#v!#v:V l405!54f4T$$If!vh5R5z #vR#vz :V l405R5z 4f4T$$If!vh5#v:V l4/ 6`0654e4f4$$If!vh5t5F5#vt#vF#v:V l 6`065t5F54e4$$If!vh5t5F5#vt#vF#v:V l 6`065t5F54e4$$If!vh5t5F5#vt#vF#v:V l 6`065t5F54e4$$If!vh5t5F5#vt#vF#v:V l 6`065t5F54e4$$If!vh5t5F5#vt#vF#v:V l 6`065t5F54e4$$If!vh5t5F5#vt#vF#v:V l 6`065t5F54e4$$If!vh5t5F5#vt#vF#v:V l 6`065t5F54e4$$If!vh5t5F5#vt#vF#v:V l 6`065t5F54e4$$If!vh5t5F5#vt#vF#v:V l 6`065t5F54e4$$If!vh5t5F5#vt#vF#v:V l 6`065t5F54e4$$If!vh5t5F5#vt#vF#v:V l 6`065t5F54e4$$If!vh5t5F5#vt#vF#v:V l 6`065t5F54e4$$If!vh5t5F5#vt#vF#v:V l 6`065t5F54e4$$If!vh5t5F5#vt#vF#v:V l 6`065t5F5/ 4e4$$If!vh5t5F5#vt#vF#v:V l 6`065t5F5/ 4e4$$If!vh5 #v :V l4 6#065 4e4f4$$If!vh5, 5, 5l#v, #vl:V l 6#065, 5l4e4$$If!vh5, 5, 5l#v, #vl:V l 6#065, 5l4e4$$If!vh5, 5, 5l#v, #vl:V l 6#065, 5l4e4$$If!vh5, 5, 5l#v, #vl:V l 6#065, 5l4e4$$If!vh5, 5, 5l#v, #vl:V l 6#065, 5l4e4$$If!vh5, 5, 5l#v, #vl:V l 6#065, 5l4e4$$If!vh5, 5, 5l#v, #vl:V l 6#065, 5l4e4$$If!vh5, 5, 5l#v, #vl:V l 6#065, 5l4e4$$If!vh5, 5, 5l#v, #vl:V l 6#065, 5l4e4$$If!vh5, 5, 5l#v, #vl:V l 6#065, 5l4e4$$If!vh5, 5, 5l#v, #vl:V l 6#065, 5l4e4$$If!vh5, 5, 5l#v, #vl:V l 6#065, 5l4e4$$If!vh5, 5, 5l#v, #vl:V l 6#065, 5l4e4$$If!vh5, 5, 5l#v, #vl:V l 6#065, 5l4e4$$If!vh5, 5, 5l#v, #vl:V l 6#065, 5l4e4$$If!vh5, 5, 5l#v, #vl:V l 6#065, 5l4e4$$If!vh5, 5, 5l#v, #vl:V l 6#065, 5l4e4$$If!vh5, 5, 5l#v, #vl:V l 6#065, 5l4e4$$If!vh5, 5, 5l#v, #vl:V l 6#065, 5l4e4$$If!vh5, 5, 5l#v, #vl:V l 6#065, 5l4e4$$If!vh5, 5, 5l#v, #vl:V l 6#065, 5l4e4$$If!vh5, 5, 5l#v, #vl:V l 6#065, 5l/ 4e4$$If!vh5, 5, 5l#v, #vl:V l 6#065, 5l/  / 4e4O$$If!v h5<5X55q5q5r5q5q5 r5 #v<#vX#v#vq#vr#vq#v r#v :V  d05<5X55q5r5q5 r5 /  / / / 4apdkdWg$$If '#()o+,R./5155<Xqqrqqr d0((((4apd$$If!vh5J5#vJ5:V 05J5/ / 4a$$If!vh5C5f5 5#vC#vf#v #v:V 405C5f5 5/ / / / 4af4tDText6tDText6jDjD ,$$If!vh5C5f5/55#vC#vf#v/#v#v:V 40++5C5f5/55/ / / / / 4af4jDjD $$If!vh5C5f5/55#vC#vf#v/#v#v:V 4q0++5C5f5/55/  / / / 4af4$$If!vh5}5#v}#v:V s4 6 0-(5}5/  44 se4f4u$$If!v h5Y55555Y5Y55 Z#vY#v#v#v#vY#v#v Z:V s4 6 0-(5Y5555Y55 Z/  /  /  /  /   44 se4f4kds$$Ifs4  J U`$'Y   YYZ  6 0-($$$$4 sae4f4tDeCheck2vDeCheck12vDeCheck89vDeCheck35vDeCheck54vDeCheck63vDeCheck90xDeCheck100xDeCheck117xDeCheck128xDeCheck141xDeCheck152$$If!v h5Y5Y5Y5Y5Y555Y5 Y5 5 5 Z#vY#v#v#v Y#v #v #v Z:V s4 6 0-(5Y555 Y5 5 5 Z/  /  /  /  /  44 se4f4tkd|$$Ifs4  ? J U `$'Y YYYY  YYZ  6 0-(00004 sae4f4tDeCheck3vDeCheck13vDeCheck31vDeCheck36vDeCheck55vDeCheck64vDeCheck91xDeCheck101xDeCheck118xDeCheck129xDeCheck142xDeCheck153$$If!v h5Y5Y5Y5Y5Y555Y5 Y5 5 5 Z#vY#v#v#v Y#v #v #v Z:V s4 6 0-(5Y555 Y5 5 5 Z/  /  /  /  /  44 se4f4tkd$$Ifs4  ? J U `$'Y YYYY  YYZ  6 0-(00004 sae4f4tDeCheck4vDeCheck14vDeCheck32vDeCheck37vDeCheck56vDeCheck65vDeCheck92xDeCheck102xDeCheck119xDeCheck130xDeCheck143xDeCheck154$$If!v h5Y5Y5Y5Y5Y555Y5 Y5 5 5 Z#vY#v#v#v Y#v #v #v Z:V s4 6 0-(5Y555 Y5 5 5 Z/  /  /  /  /  44 se4f4tkd$$Ifs4  ? J U `$'Y YYYY  YYZ  6 0-(00004 sae4f4tDeCheck5vDeCheck15vD