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Ag Banking Subscription Form

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Title (check the most appropriate title) *   01 Chairman
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  03 President or CEO
  09 Chief Compliance Officer (and related compliance/regulatory titles)
  04 Chief Financial Officer (and related financial titles)
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  19 Administrative and Related Titles
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Area of Responsibility (check all that apply) *   Management/Operations
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Organization *   01 Commercial Bank
  06 Ag Bank
  02 Thrift
  03 Credit Union
  04 Supplier to Industry
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