Form Nyf-1 - Franchise Registration Application/form Nyf-2 Page 2

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5.
Name, address and telephone number of person to whom
communications regarding this application should be directed.
_______________________________________________________________
_______________________________________________________________
SUPPLEMENTAL INFORMATION
Set forth, on separate sheets, annexed as riders hereto, a statement as to each franchise salesman
employed by the franchisor, containing the information as to his identity and litigation called for by section
200.4 (iii)(2) and (3) of these regulations.

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