BULLETIN TO BE MAILED ONLY ON REQUEST
The print edition of The Bulletin will be mailed to retirees
ONLY upon request. Names will be removed from the mailing list unless
a request is received by August 1, 2004.
Mail the form below to :
Brookhaven National Laboratory
Attn: The Bulletin
Bldg 134 P. O. Box 5000
Upton, NY 11973-5000
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YES, I WANT THE BULLETIN MAILED TO ME.
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NAME
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ADDRESS LINE 1
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ADDRESS LINE 2
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CITY
STATE
ZIP
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EMAIL ADDRESS
Form Posted on BREA Web Page June 30, 2004
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