ࡱ> 5@ +bjbj22 0XXA 'xxx$P< $<)|L($RNix")?CRxV@V"x 0 615( @tY0 !]! !x   u Certified Fund Raising Executive The credential for fundraising professionals CFRE International has developed this form as a way for you to quickly track (and keep in your files!) a record of the continuing education sessions you have attended. Simply check the boxes next to the sessions you attended and, where necessary, fill in the session title. At the end of the conference, add up the total number of hours. Keep this sheet and you will be ready to complete your application form. All of the session slots listed are eligible for continuing education points on your CFRE application for initial certification and/or recertification. Activity Organizer:  FORMTEXT       Title of Activity:  FORMTEXT       Dates and Location:  FORMTEXT       Date:  FORMTEXT       Concurrent Session I (length)  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here Concurrent Session II (length)  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here Concurrent Session III (length)  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here Date:  FORMTEXT       Concurrent Session IV  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here Concurrent Session V  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here Concurrent Session VI  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here Concurrent Session VII  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here (+W F H J ^ ` b l n p  ¼œ¼ҕ¼œ¼ҕygy"j h~)h~)5CJUjh~)5CJUjh~)h~)CJU h~)5CJjh~)CJUmHnHuj$h~)h~)CJU h~)CJjh~)CJU h1>CJ h1>5CJ h1>6CJ h1>CJh1>jh1>Ujh1>UmHnHu"(WX p    N  h Ch0*s0*s0*s0*s0*gd~)`|+}++    & ( < > @ J L N v  < > @ h j ̳ثԤԙԎԃxmjĂh~)UjPh~)Uj܁h~)Ujhh~)Ujh~)U h~)h~)h~)h~)5jh~)UmHnHujh~)Ujh~)Uh~)h1> h1>CJjh~)5CJU!jh~)5CJUmHnHu*-./CDRSThiwxy ,-.BCQRSghvjdh~)Ujh~)Uj|h~)Uh1>jh~)Ujh~)Uj h~)Ujh~)Uj8h~)Uh~)jh~)Uh~)h1>5h~)h~)50Bg<d8] /Tdxgd~)gd~)vwx  <>Z\^8:<df} h1>5 h1>5CJjh~)Ujh~)Ujh~)Ujh~)Uj4h~)Ujh~)UmHnHujh~)Uh1>jLh~)Uh~)jh~)Uj؆h~)U0"#$89GHI]^lmn  /0>?@TUcjh~)Ujh~)Uj0h~)Ujh~)Uh1> h1>CJjHh~)Ujԋh~)Uj`h~)Ujh~)Uh~)jh~)Ujxh~)U0cdey((( ("(J(L(h(j(l(((((((((((()))D)F)b)d)f)|j,h~)Ujh~)Ujh~)UmHnHujDh~)UjАh~)Uj\h~)UUjh~)Ujth~)Ujh~)Uh1>h~)jh~)Ujh~)U0TyzJ(((((D)))*6*7*M*r****+++ +E+gd~)gd~)gd~) FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here Date:  FORMTEXT       Concurrent Session VIII  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here Concurrent Session IX  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here  FORMCHECKBOX  Session title here Total number of contact hours attended: ___________________ (number of contact hours = number of Education points) CONTINUING EDUCATION POINTS TRACKER f)))))))))))** *!*"*M*N*\*]*^*r*s******************* +E+F+z+|+}+++ h1>6CJ h1>CJh1>j̕h~)UjXh~)Ujh~)Ujph~)Ujh~)Ujh~)Ujh~)Ujh~)Ujh~)Uh~)0E+|+}++++++30PP&P/ =!"#h$%`L 00PP&P/ =!"#$%` P0$DdH (flR  c .A logo2~~򘭖\/%4뭑Z~D`!R~򘭖\/%4뭑-B 8 ~xneIr.V3G\s!a0jֺ_&9gOW`0hYUmHVu) zzڰ`!ޛfW,qs;w;wsG~ y;w__%";;yU=i?w ߑK/kP򼴈JCy^RWP9AvzvuJh0tR9S^2-V‘ng>-O'X4vv??g~,S)UOΞ,2#X]""ό1e9]想Vy&d_f7Eruv񣌩GǏ/zӟ}u̴ zvm>Z\~?<^\} >=:^H㳇gGot[,ý7 RS(ϳLR郣Ӈ[g_:* E$4F=2nMF[P9F,N>8;X\^ώ..m|$|~~|x =?ΥJl&+6 &YXG'n%[+ي2_[wVJ$gG 鍓QmR4׏%~]"/i>uv*%Rb{q*c,撯Wd爸dV/l9|X/+m.ىYgk) K%|89U!hYUdM_f][hZœŗ?>+=>hwWym )8/Ol:+RVf} FRQ:YMR(uBE|~qq$ҏHv{狋OW?P"̇!gC+ у(Tт>z|ѱ`YYSBY3NDeW+.?UmÀVWR U=/նն-r-r9 3 3Jr r"|\9JHϑgwmһH2 «h^U"prL5 /#N - !`I5#X6>r/E]yrRQZR1WvM[GC /jT5M{ y+U,_?*_~\tѢ w>Sȥts( = W]Ks;L`Ҋ?E.o4ѲJGrIT(:ޮ֫%"V,,5%ןp?Fc: {oMMgkK֘_vv4O~TWU_Yfw;ߑvnww׌k}Szg\(V>0~Ss%=皇]1y 5wXKw1{+4MO$f5/"[>D[Swi&B)oz OiMkN%b\`.4ߎ\j'isxYCޱ~OݴvozMO~Z콢)us}֔Pߤ&NJ)vRM9 6(DݨWbޛ^Mx[bJ77X)Pm;'} V{TmRMt[78;=FSBn=:};?;ώC 6O[wtn>˽Rr@עAO%cۂ\(K2\S]-.NNZ"K0 yZ3[\Jޡ?8yEIO;cLox4Cg by_[gR+zDljp͹ yMd0P>_nJǟkgr^ ].O;\:U8CogϞ8xr!v3Vvpؿ#/xy곇 {CE<9:XlVsiC|=<8oP_*Bu+Sxv "O>`bٗH<>CQ ,Y#{!lM Fӧ ^l %/NA/'2ͤx-Aj)EE2@>\2EKT{SqR!?lEhIDXc*Ԉ֩ sS s?hυxڦs&"w~qtz1y::Wgkj xY!FC̮XmUU/^7OsDLچF;+oi ib CUOhR<SXO.˫9r?'l<d+!6XU}GZqh'KK&"|vr~vytq}-YpDl\]PɚddX/x3KA$5vԽ?ήm p^83tq||右Ïu([֤[]"3!m[ҝu,r Flb&)0>KI0KgjO2 {ʼe3ԕ R t+ǬJSZ-*zuqE`[Ţ7cDgNM~1)W4=U>Qcq%Tpq1,>6sg{?ⓟlݗjE|BnS 9)쿥 )S-zGIu"mElhE-;x}*cG0b8 & 4|L!ڣ ˲Zqa!K&H!aFު#&=88MfTNjӇ-Bcb..aeϣ}ؤӴYC2Ng4|*6|=Tz=TKa]o4N7pg\2ɑ@pvT\-?Qj.'[ w5_*LɳNi⚍>f$]' t7,{&|ô^~nBR)W)Hi|0`UKӐybTTp ;%ms]Rx:mM4!gQ}7}Nȕ#ݓ^,`9Exꨆ2`U\NI%q=U+ 5ͧcTWjsICi nT%hPFIa뢔 .cg-Qi%WQybv# pVLhД+IO{V 굉ҴPcŭ5aY5cCkdEʼn1kH2Q80xPwmP,M|.ի YǤ͸%cҎ>::~+9 ?X؃{,*}{ SOG\E8GO-N?"%Dl^,6Fm/Fətb#=eV6m:lJL>a;9)iDo=mtŎ2H|u9##W1}BRƍh yŒCMϧ_E>~"\*9r0sdЇC.^PX8?;iq!LSUEL8ݓdd~&cәW/bVd_VIr4,#8iЏLkf _MY*`BQٸިSbœI}z0y=\<  lv-{2Z ".*e"Q;qE dk/Hb 7@:*pBqkhg#>X׉g gҝ( 4:ʅ {8y'7E:b59CT8(¿Q64g.t`tU>(X,T Q~8pU1s%'=&KY-JşjqYoIi55sY+{3VհMq"7ESN0u8K>ؿ d':yp-L gV@:?23>9/Ta<Åh4[F}p|vHg?k+؎/b[ k8.z>9eC LFSI?`?Myv56%9ۇk0ܽqH^w}Sd/G&޿ =a* 2o5>}+ȦCXũ19:ɚ~aU,X2_r6fW/m% _91V/\j3>mrP:~G 6jX[!vMo#s| fR̯>-v6 'N݋9T]m,I1op`y:W/yWoE:$WvFJ\ޠC‡^aãW2B qS7{h{gL٠(У'z>,ibB˔#b\ 21:r\Z#T|3\N~/*!wn^ϒ F)s9`ڼc\}"ϭoZG~z?KͦSCk>w3pСbšxSٲc]E\ReӇ~d\3u\S-׮VB~Nh"7mk 1{߁MB`dl6͕WKϏo6K BqL7>QsEInjj** xsd~zs؋>?ivO?^\]-b~~!g??;(G9lC3WJ=A+7zfߏ{fgD! n]&AVC2v_st$l%,qgUt ʥL)I蝼/p㡝~a򗣃^hrPWVa9|+ t_yPA &ؽf[F)7;'\/b#6nhGp8<Z^RtϲNmgb(l[|2@F[]v2eeeQe"vz7L0L'3Il|! e EQMs4=v7'N d1];"2cf9 @ڣR'ڍy htYGJ?Jq͈ߘ,7p_p="6b|Ob{|#/jprOО%61BXQ'Z($$Ī-䉥yL'zBb) D T$)1}D(UFrL֐%4J|LP cdM6 +a[HנGBt'k0IWBt(.,B59B5 O`L6` `$`z &M`$ JB(rx80B X`"pe. NwTB缘 9b+p9 Ai! F}xDb,h1h_cv4涰f8M:X0aolͱ ;E\Cp ^/-n^+h Qo);!BB-q8slpw9-ՃXw'0/Ěn5 -r ±Pj9&:4jSnnRq 9Ҿq(qCg)/K,ŔczO5 11W/+"mdc4D2tYhY8dŴQhF[K"*xKNVhkY.J,ly$ZGLje;c#-Wh%z-cptvz:_fkkXm.}/f%@h؛`e: P>zֶrY @-W lV'F1hCRKZQjM2iAQXE‹1d%{]35imV5^wK`UlZM= 2& E$Q;mmKc]ŐMvuopb7B^WN+_a>5â PLy鑼w:0Z%TQԙ̢Z[W^]9( еV`H!* @j)Q^4H6h̊Ij ZtT5`A*AQ `Np+l/4\quK7E۠C[#umԃBX25׎z%=seWI<1*,,^%yRGzt@^+-Jc%VB.Md>0^GZ"Q&T-hZ%EBi0֪+m않|B!sUcj*o%m E@%… \KDֻ"!=_ڲ&3(JpXRKa.!D\ub㊥p-[b˰72 e1HbD?5ǶE~-+R)pIB5UROWmLn%w#s# Ż RyaA;jZKoHU}WIJ@T+Yy ^S{ >ҷ5* & DcX2<BMPEh>h}>h$y?ƙՁA*ʛ2^bH&Ch!8hB9\vU5RKj޶.L aSacF)궪K00;PZ% YhF]k5$i\I\E, [nlRQT%xJL۩`E( Fl yaR ؗR0!C*.PgV8MT&ʜtvZ,Lw蒣vD2)'{.#qU ^Q:75 qVuy0 VrRc׻q0 5ak "9 Y`>:j-30*G& %R:णbJjSöصȬ-Vm{=if&k"S+@3żY]75%GjJ7͜#{N ]7`b:d3L2I&64F-(6x{^^ʮUkAOst+-و]+wh>eb6Zܜ`uA"M-Ol??;:]#tq!ܥ();AJ(2{, 7mOT.} i尘ya'*c5a=F9rP;w{^m%F&4կ zGglQ` y7YVA{\P!f/ ue:|G "bٻܰbDŽj~_}rWu]m>rӘD۷)7:s< 1fz6:X2{K~3XmTaej.;?9;}mU;IƔ}u$1tCz*^5Mce&u|7ڊ1#tsۜɡkٳŔ!MɖÌCE\cFI5"]4MTØOri2hZ ;'WWU>"S+^`68$X7XH©a`uRE5}j 2ZB>,lo02f)tW ?1720&s,c\emMkI+^"r)+TI=dT$^/ -5&:ٲ/+%NivN}T̒&XK]q8U0 rH5xWp¿.7]-Lֺ!ƨwˬRfX8k-הsQ̢{,VxY>j:fU7;.}Ҿv,Z.=瞧&U*fբfxF듹<|&0!\'0$[0B}f ݴvOjTTWmz c[ػ n'k~-b=W:xY [O7}=;!~B X1@@ɺ(7N.Bq %`cceɡi 1=B[ c=`CP&'k$t*QV X@TأobyMu3&eԦNjT#(6uwP55AckCNRg4e)bkt|ϻi1FzW2N{2A⛞ 7EPMB}S4hhQф0M=f팖'1Z&!e%#4SK·":ö7{Pd2n "hcxcvsiWp +7ʞVW.NɗWfM -F!3L`ac1v@:DtAc_ZW=/KO$?SX n[p aNw/J.V5gpކVL_%q`R់$+W0rkhu=q>z-Eūfcـ$^ЕZm[3MbXUN`H#Q=0NBbȺª^RkZȿ;KECZ!5~u&5EHWt轑H~ќwW8W ptF:V:W ydP k\ԋhA51d-z ^ ÀZ9լ!|a4V,_+UДk:.EF)\BK2 LI,8Fk@ѽPaRh@Z(IG8ꜣI߹P ú <Á2!VMlA}kFƒ_JHQ}:Q"iA^VchtIoTuWQy=`U]ܹDd)R@C6I_(U04TĮ!8v( |̵^+D.2Iz q-E viډ8<3nTv3!O?OcwI) mr(z^-uj$mɲ ݒ)Ph%VIj*y >hjz y5 \Y5/gNCWa^:_ \!X$sV+S9FRAk M.j4N7 c p=\:D#Щh:-^s5ѳfix)h752qx"o0,I@ylA NF*7 !=.Stav9ySrG,s@[Ԯ<X5U4I5a61%8X:ɮsTFs, Λg0%X"7q3U0q j1[Ps\GatQ` 94][ ->y v\j+}Js1 [y:IE 1`r=PLtf70T7j,HǑu#J6Bz7ґDیju+8N:Tmf:;7? 9Q58csa:Ku%X'ƹǢƹtYI CAqVA5[mGrm9q4C> Pۊ:ufsc^qRgi ms ÑpSmVm.Zm8!LMƹU-QcPjj7pU:;}. miyG>F`QQ՚} EnB!-u6>jj`K~h0;5Ƃ/*qd-B?~:ZcݺÕF;{ܶ8ː0?=Aj+W4\ane-cqsez޷f8۸( mju Ce:岂0k¼..u+[ץҼhޣm:t^z{iK_uM ^C3(z;b' n#ܕ烛zsSٻf#5nw580A:ӻፃe&;8ɎSm&{M*|&{WHz^-hwFI] hT F;Pnwf6jDEV;hRXoe/gW8֔ԍkϺmGI® Qߏnsttb?x ?|5@Υ\9,,&=Xn~EXyC`ǺHYcC0‚d KF6 5~s4Ī-~G=V0 ~34`2{"J wP,Iׯ3nk@PD|0߽HLׯ3kEF-=sߵH'R Z"`g?:Xh88a hi$ؚӠaE,cvcӽmi./ =o'u.V S!Zr"8A0ljsCڅo5ߺ1۳oNb=9e57/FEox5(-?A8l8s! Z^: \XE;Q&Rľ^wf!R#Vht25F+t8kSԬgX}G,=h.%r+O ve 4'+m (7g*P[ץe2/?H[I諚N9~f-> f&O`wف${pA}pk(Y\*#*kij5ا"%umܧ(c[Cqlwx8\7"v(]pU{\-|I羌AOrޖě؊nl߼@DGákyВGϝy@rpNfQꃋ4 ꗽsL=J}ԠFq^ߪc/yH™K[.Xya !TP-bNlV2גVxa]b=)OGjjTke^bݰ]RSzjv"]9J29Nz&iʅcET(Y-RV9M,K[c` ~A'讂v:HiQ0$pV詬  =DWꢣN!sn;5}PB7y(`,o)dЂԜ\jqiR @ц.R dT.?T|^dw@) eZ P~l)R-/oAKSr-yU(om-}VwsWׇCDSmp%lcΣ_ƛSc|\g>jiykqŸ5W;`k\f~PIжFu )%nz̪\ay&6By7Fzim;2; Hjcb1C`H:SpK1}_=ׁa(ѠRBp/p;`fJy+]s^-66GT()C5 ]#Bb7*MFjbTkGҮv>a-s4 ׿uX"mخ^͹LCuW7 ]ƶ6;RΦ:| V#5zv>>a .ԯHBJ7.?CFD6ƑXC^o ;F N]zxV1JaHn\W!%Ha&S>qYS0xnkMnMͽ7M뢌 .(V3z}I!mawRCɹSb ^sNK\^Rͣ愿qvgQ[#?o.vV=#l/ WXM3vd*"WU2{SS=huUQyJӖl juʓ͍5]Hhݐim`ԭ gm>D薭 옺v)0Z}V)`1mPP8-vI@%=a߹:}pϷk匽޸%%AVhfD~BƮ(>bg;z#h;HU س׹Oa:B۶B^9'UijT_6 >W@#u#PS1J:xIo^TՆ|T2ԛ'sk)Fmġ  z|g餌@N') 8錫 Y|N sYk N0qy9V,MAiJ/hk]zl* BSäQr V Vo#vfhr0|?5@h`'^MQp^Q]!^ȕ=G<)!/|](8̈́viTxc|ׅPIpYhF=Xm̀M1[.+,%F'-IwKN]t!;-<ĒU(u+ճx.KYr 0%P`xyGMk3( YgPoX:qr.q׉\K F\q(ٕ*75#ZwAC"Mqͽ o-th1 {o&t:M̵M{ zan3vU d#-Ԉަolkw`D}-ni̐Rm;jBWU\9 m0lGm3մ M:"zs:iZpjƏAOֺ!K*./W$EhJk-5:K!Qol}RmzrrVQ@U*NLLWp{ft'^ e/5rϡ68/X狧4{jMBV85U'*Zg}eWQsqBW: c(9m(} 1kHxQ“ T]CXM5n5C[ Y޺\cߕ]IUZWMi!";ثp h_K/[+2/VW,#|'%,uY@["Ur~(`od@ qL`~wXj6klni+[mZS4Ȏ0Ejbya!vHRf?kn\c6UZXY"15MGAOWNOBYу,ol&S9Xj$MZ[Aq6H}Q̗|;=\ F'8]pt,])F5_^T:<^oc:SQI u\ijVY->J G➁K%Vڊ+Z q"-Ռkl֬TN-g -~Tqڒ3a# /cQ~{G{G[eCuzVcc|V(Cox-]t!}-q]B GI۲XPϒ\px_*z@o2@!-&y(N,ډ :D\VUt`]w:]\ZW [bCjޫQ9t<,WJÊtV3:5a8Pc\#zc*(Y59'` ^8",^Z;3!5)*O#vvLs9ys9$BCy s #Xh±;<*D\ZWcR<&jPc;,C'1г#U17AEfK-AEu`Cݎ )xi+^z 8PqbiEUYVaZFҺߕY uHWڕ1H"cVPDƓGhV}Wd;E8U&DxLOOe&"B1 Ŋf8^cDcVD"f.A|OslyyLjYDc )Acy4a%p1rVTi!Վrk>ZPrir*`ZcR/?..X%"L&b8JogvPNA Y_ s|gq ?7׎+)Swz;n7TM } ùkj*H5k \{B}7A@νVK=Tg;]IΣ!huFatp&y*\V.sClZMprU+"vϫ;g:g _*`YVxpYZa2xA |C`GJ*$1h|"ngfCfw3R\JpI,K Dž!l~*w헱>l&1|--S-uߜn4a5apZe& c>' M܁E}d!٭] VsX޸ JOi5TGͱ Z6rtO "FUlC$[céDZk 'xW^Gv>`T-X8`W6g셄}{ߵRaoD!!BFPSmw#=K >N;d2{8KB|qbXsU oEne:91>hS~sN#JpK&9<S΃ᘷH-3AD#^joN]";%cl ^g)"Ex"20AЙG.SR#l[Oαg_kC~8!L[Pڿ7/."Q*+ǦKYA Nfƀ iM1&f{vdrO Wo0)X9 }_w~=ݽLjg-^ \n]ZNLxgTuRG8óW=x3Dx{|Q5#|)V@t=juc7pRw_㖝7?6J_i48l>| 9+>+Cʩs\Z7|x/ >_Y9r"X-ezN׉l栶niWr <_vzgoΚ|P?V_p'\ε^NTak RȊ㎴^x+ ^3Љm%$/DvlWj[' i*:V hpUyh4@_5ol# P}_: lhC:Pife4`dw҉Ӡƹ*NIC4*2"eU$B1"4-_kDh .3x/(orܟu9_R5P>U-9շd::;n[CpwtBz͊ˏ=xbvqf=U 4 om%2 :fJ}$6"U 7^rJh yw }(`W^x$WsT#׃8Fކ2~*.- pHh D~@\\L-x^N8<р!Ff{IM4GT$}ކ,wd^R4|i^zXZpJeغ۾Q_-nJWϷ) }lcPTy Q$ஈ0^]q>hz6vt-K;X }FG0 :7`^{}MUF99k E9:]{V ;gU!}8+G#بQ-4@v!NӞpij1:&=N+S[' N]Ք 6} c%96!bל5N_mKEͷ;j44aiG+۷׏2 I*~;|wkwswwv٭wrwvwvvw;[;;N;NS;N=vn7v]n|w3ߞ[0ݼ7z^y1Ϸvv[[[[Vm[VUm[V>ޜonmnnfn6fYn; |6qn !w~[pX?EQM_,ϻnV ]u]+bW+vnV ?]n+65N̛fɛnKy[ު7k#FKX̤jڮVY U?D8p²*-wr^n YWby[ż*6ne<>#*ʢ(Y.K_[,6r;/|?T϶.'0cir\ [hk;sj?8;U˅-АS٧䧰O!. m~ٚ HMP?}:~Z4䧰O>r|򻤾~3g>٧Κ+'׏t~vٶ>[lΤ7\?}Z~81;kП\?.dCn>[lgOOg>̻NIyd(6kO?ۓ|Zlg,./}ɧ|LfA|,~ʥGy,g{O?3ٜ|O?tgd<4O=TKWlݠ? L6vcVou欟W3H9JSMiV{xwmiz{+;"m;#G;d(@H:9aN>}t|RGOK}l81P.gښ݌ƀn*e+pHk'f9#vn64s%;aG-`?wZv@Il EkRd Ԝt%J l;"Id.A. !-mݙpa!#tՈ "G["O"WŸt[%5Co9ܒh[Ƥ][ qkڮ5 %ٶ j҅t%]#L(e4ܔQq.N+^T2r62v22nȺ-#Lddmdd(dHޒy[]B1|1}KmwEh JFln& Fb$4fv/ŦXs0vwE aJFNA-NJٝAbĔĬuVȃF ꁱ07"}HKɷ w(Q CFlViѱtTL,HR$%0X(m*l i.e?=z gsr8x\Z)Tg׆R9$) |2()Nmf՟q(28R>l <5 `nT(wtY?N3K_3Z1^5&sr4Nϻ|4}Nγ0{Ng5Ud0 Sd WMWM3$O =ɳ`/$,ⷾ3Co_jO/8X s-K??X,N2:~4<,Q߷8cH/c=>vYaЏ umnآM`cJ mX - fl4%Ę=,VҰh\:Nf#\V 9il C22rIaӤy"fʌۤE66\!|b*Z2e3h:Z5b X;k?CMZ=iph ;hJsģQDPW40 r#q[g0g:`'6nѸ-V/;f6pSō'33ݤvj7ݴqm&ʠ}13#`hƶnpFvۍo5w܍p7wS\q"Mn2ZlT&.;&~&x3ë́l/{e_ha6\s}1hFr#$H _l\7fF&ȹaYxf3Ҟ}?$MUHVzF=kjj6?Ūpa8/ ZxIT '" QVT0^RN JT-Uo|.-\"{{Y=_  d$CJ]mRt;"C ~W@ 5`TtV8cx NWA,ӇϽv<Փ G|NJx"X| A!8)%W g!s<Cd0Ÿ y_R[lGM(\}ݬmcvڷjv>f7}o O: h-".v7;_ ~hV|);s;H[JnckٵԈqkjo8c zM(}#ʐeHQumd1oNT* ]#1WwL+Ѹz~H/%F,Qhiƞˍ#88&=hNdU5=_]߼$Q1|KggB:͸nۖ[6Q?Kl6AQ?Kl%+j_+R+a|)} Gj]|he&^+ {xB>gw_;WSs(r̂f46T 8=3L)4!+nE}$K|jcndՎ-yk\D?'&Z-e)`+"shhbf399j¼ں^4ln/kX޼,f'Yf)cf-1/Yʘ,YKa,fv2KR,Z>3kY,eKa2f2KREI3;ɼЕ,tNV`.9A`Y"WC]ᎍ롮 pFKWXn}M7#?st- 7L 9PWoA]$ >,i_+Ky7S܌:IiȻΨQJ]ߴUEKwZe5Wi5xW) -#Bw1z"CU]Çb`?Haf3K^1eg50S=FltL 9WߌM`ʛН~TK`l/B)ĘZ!VjC -Fa5*Y-X - 3QsRJ ViR1VɑFs/z pFKh]pХMHf:pZ2M+V/87Ӓ329[a9R)r֑/8Ғ*9֕J%M9YRH!UX[<8zK"n՜pDRz!.Ȫ͑cWYR6p?Sf^%`!UXGZSF䠪BaN%Qsb i&|8S%R-c[)H!DI %rX!AQ #D&"y#u⼎zLᨼ_Fu& iY`oNPj_J|P{AtP"A@2(79@(Aq@q_Nu@ Pj>5ʈ~ڏ~x웟 #9<&½i!ߺ mZIC\BdGHA ?'Q C/%$)Ict*=$&MISr%gF2l2zʂf7ώcF;OlR~NC)NkqvulǁvP'qє} G=mOcQ@ܻGSS3裎wQy;<}}q>>8OqG%~RA_< /[N&9ts/`B2JrjS Toooo^l?[mwwk:}2@QOξȳ/߾?͞]Vz@(=r-4 zJ֪YժԐ>hC*O_~jajW4TQ<p /(qA*>u!"o_RkjdW4&ԫSVC]ŀTޚ'~?*ʣS[? JeSe3}Uh]Edp3hLUW7;#{ݭo|1iv+i|s oy{BۂUOW ҢbO'|')7T @KqxWWo>(tϧ&/Lf/eg#wz\NDnl)LLjьdIxF1Trl.MA {/GlCj7m3}Nǫt!;cAONw@^l(PH ٻ6-Dׯև-rw}vRP},Tfۛ@:0VƦ/77kz7 EQᨸQY!D׫ۛWӆ4UƦqz;m!źr~0al7(&_>!Xf3 m7oV٫ݴїձͫzwYOCmBhGA/VSRՋnM 9ᾦo~7ϡ.6zAۤfwZ t{N\|2tAuc;]ޑSzB v% f7N{(y_/<z ɾ̾cǕYޭ *ÿz+UY5)ܢdo,KjQ·MZlʺ& r!9/Lh;B1:h|rEP]&X 4֔mXkt(R-kEn#؂[ZR{], h1Ȕ"ojMP#jJ(+[e6 XS[@M = $@a zZm4MH}2/N*sڗ`P&W!L*-A8c\ރK"7p%qu?z|S 墮s_6-ucm`,ΚE:Aosji&GL0[g"B e"`ʺ.2]\tOCaOuQ'̢vNt5\v8P][֖֨q(q~Y>[U8P;> .\Z2E:oD:v\)@ 9`jOkG8?8%zU%^X٢V,@GNlv)*Q  4[e!jš ˁuXGi;kYV T%@6)6'!H3 ַ7SKxk5 wi~ffk%l[2=`Ma==CH, e:MN#UujuHaJT`-aNä"Ko $P^C_qUehmX#ZS%t&M^(i)tG̛nta 'Lu#1$>C_@KZ$;H lAC6҂uIFLHXh8A lT@Su'^BǓ8Q{-ON9uZ)tDText1tDText2tDText3tDText4tDeCheck1tDeCheck2tDeCheck3tDeCheck4tDeCheck5tDeCheck1tDeCheck2tDeCheck3tDeCheck4tDeCheck5tDeCheck1tDeCheck2tDeCheck3tDeCheck4tDeCheck5tDText4tDeCheck1tDeCheck2tDeCheck3tDeCheck4tDeCheck5tDeCheck1tDeCheck2tDeCheck3tDeCheck4tDeCheck5tDeCheck1tDeCheck2tDeCheck3tDeCheck4tDeCheck5tDeCheck1tDeCheck2tDeCheck3tDeCheck4tDeCheck5tDText4tDeCheck1tDeCheck2tDeCheck3tDeCheck4tDeCheck5tDeCheck1tDeCheck2tDeCheck3tDeCheck4tDeCheck5<@< NormalCJ_HmH sH tH >@> Heading 1$$@&a$5:@: Heading 2$@&5>*<@< Heading 3$@&5CJ8@8 Heading 4$@&5DA@D Default Paragraph FontVi@V  Table Normal :V 44 la (k@(No List <B@< Body Text$a$5CJ :P@: Body Text 26CJ4@4 Header  !4 @"4 Footer  !%&j %&) j 050(WX   'EjChBg-Rw"Glmn>?V{  * B g  7 \ A B f g h k 0000000000000 0 0 0 0 0 80 80 0@0@0@0@00800@0@0@0@00080 0@0@0@0@000 0@0@0@0@0080 80 0@0@0@0@0080 0@0@0@0@00080@0@0@0@0@0080@0@0@0@0@0(0(0p(0p(0p0M90\0M900M900M900 vcf)+ TE++ + %EUjz.CShx-BRgw-=Rbw "2GW)Vf{ " ( B R g w  " 7 G \ l j FFFFG G G G G G$G$G$G$G$G$G$G$G$G$FG$G$G$G$G$G$G$G$G$G$G$G$G$G$G$G$G$G$G$G$FG$G$G$G$G$G$G$G$G$G$8@(  \  3 " B S  ?j +t Text1Text2Text3Text4Check1Check2Check3Check4Check5Fkk &V{k B k   B k 3??]j   DElmn>??V @ k  B k  H P Customer H P Customer H P Customer H P Customer H P Customer H P Customer H P Customer H P Customer H P Customermhirt7S 1viFF(MT`NDP~m0^`0CJOJQJo(o0^`0CJOJQJo(o 0^`0OJQJo(oNDPFF(M7S ~)1>l> * B k y*y*y*y*y*y*y*y*y*y*y*@  d j 0@0 0 0@00$@0(0T@UnknownGz Times New Roman5Symbol3& z ArialARZapfDingbats"hkvkvX&  !24d< < 3QH(?1> H P Customermhirt   Oh+'0   < H T `lt| ss H P Customero P  P CE Tracking Sheetdmhirtck3irMicrosoft Word 10.0@^в@fϔ%/@*1@1 ՜.+,0 hp  NSFREtl< A  Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdfghijklmnopqrsuvwxyz{}~Root Entry FM>1Data @1Tablee9WordDocument0SummaryInformation(tDocumentSummaryInformation8|CompObjj  FMicrosoft Word Document MSWordDocWord.Document.89q