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INSTRUCTIONS
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STEP 1
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Select the type of
account by clicking the link (account
document will open in adobe acrobat)
to download and install
adobe acrobat, C L I C K H E R E
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STEP 2
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Print Account Document
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STEP 3
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Complete Information
and Sign where applicable
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STEP 4
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Mail to:
PCM of North Platte
P.O. Box 582
Mullen, NE 69152
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