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                        <TD style="PADDING-BOTTOM: 15px" colSpan=2>&nbsp;<A href="http://www.garywelchhomeloans.com/" target=_blank><IMG border=0 alt="GWHL logo" src="http://www.garywelchhomeloans.com/branding/images/LogoGreen_483.jpg"></A></TD>
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                        <TD style="PADDING-BOTTOM: 15px" colSpan=2><FONT style="FONT-SIZE: 12pt"><SPAN style="FONT-SIZE: 12pt">
                        <P align=center><STRONG>Contact Gary</STRONG></P>
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                        <TD style="PADDING-BOTTOM: 10px; PADDING-TOP: 10px" vAlign=center colSpan=2><FONT style="FONT-SIZE: 8pt">Please fill out the form below or contact me directly at 770.888.2232 or <A href="mailto:gary@garywelchhomeloans.com">gary@garywelchhomeloans.com</A>.</FONT></TD>
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                        <TD><FONT style="FONT-SIZE: 8pt">*First Name:</FONT></TD>
                        <TD style="PADDING-BOTTOM: 5px; PADDING-TOP: 5px"><INPUT style="WIDTH: 175px" name=txtFirstName dpieagent_iecontroltype="2"></TD>
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                        <TD><FONT style="FONT-SIZE: 8pt">*Last Name:</FONT></TD>
                        <TD style="PADDING-BOTTOM: 5px; PADDING-TOP: 5px"><INPUT style="WIDTH: 175px" name=txtLastName dpieagent_iecontroltype="2"></TD>
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                        <TD><FONT style="FONT-SIZE: 8pt">Street Address:</FONT></TD>
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                        <TD><FONT style="FONT-SIZE: 8pt">City, ST, Zip:</FONT></TD>
                        <TD style="PADDING-BOTTOM: 5px; PADDING-TOP: 5px"><INPUT style="WIDTH: 175px; HEIGHT: 22px" name=txtCity dpieagent_iecontroltype="2">&nbsp; <INPUT style="WIDTH: 100px; HEIGHT: 22px" name=txtState dpieagent_iecontroltype="2">&nbsp; <INPUT style="WIDTH: 100px; HEIGHT: 22px" name=txtZip dpieagent_iecontroltype="2"></TD>
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                        <TD><FONT style="FONT-SIZE: 8pt">*Phone:</FONT></TD>
                        <TD style="PADDING-BOTTOM: 5px; PADDING-TOP: 5px"><INPUT style="WIDTH: 175px" name=txtPhone dpieagent_iecontroltype="2"></TD>
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                        <TD><FONT style="FONT-SIZE: 8pt">*Email:</FONT></TD>
                        <TD style="PADDING-BOTTOM: 5px; PADDING-TOP: 5px"><INPUT style="WIDTH: 300px" name=txtEmail dpieagent_iecontroltype="2"></TD>
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                        <TD>Contact Preference:</TD>
                        <TD style="PADDING-BOTTOM: 5px; PADDING-TOP: 5px">Phone <INPUT value=Phone type=radio name=txtNote1>&nbsp;&nbsp; &nbsp;Email <INPUT value=Email type=radio name=txtNote1>&nbsp;&nbsp;&nbsp; N/A&nbsp; <INPUT value=N/A type=radio name=txtNote1></TD>
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                        <TD><FONT style="FONT-SIZE: 8pt">Company:</FONT></TD>
                        <TD style="PADDING-BOTTOM: 5px; PADDING-TOP: 5px"><FONT style="FONT-SIZE: 8pt">Do you work for UPS?&nbsp;&nbsp;&nbsp; Yes <INPUT value=Yes type=radio name=txtNote2>&nbsp;&nbsp;No&nbsp; <INPUT value=No type=radio name=txtNote2>&nbsp;&nbsp;<BR>
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                        If "no", enter company name&nbsp;<INPUT style="WIDTH: 175px" name=txtCompanyName dpieagent_iecontroltype="2">&nbsp;(optional)</FONT></TD>
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                                    <TD><FONT style="FONT-SIZE: 8pt">&nbsp;<FONT style="FONT-SIZE: 8pt">Reason for Contact:</FONT></FONT></TD>
                                    <TD><FONT style="FONT-SIZE: 8pt">&nbsp;Refinance&nbsp;<INPUT value=Refinance type=radio name=txtNote3></FONT></TD>
                                    <TD><FONT style="FONT-SIZE: 8pt">&nbsp;<FONT style="FONT-SIZE: 8pt">Purchase&nbsp; </FONT><INPUT value=Purchase type=radio name=txtNote3>&nbsp; </FONT></TD>
                                    <TD><FONT style="FONT-SIZE: 8pt">&nbsp;General Inquiry&nbsp;<INPUT value="General Inquiry" type=radio name=txtNote3></FONT></TD>
                                    <TD><FONT style="FONT-SIZE: 8pt">&nbsp;Other </FONT><FONT style="FONT-SIZE: 8pt"><INPUT value=Other type=radio name=txtNote3></FONT></TD>
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                        <TD style="PADDING-TOP: 5px" vAlign=top width="18%"><FONT style="FONT-SIZE: 8pt">*Message/Comments:</FONT></TD>
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                        <P align=center>&nbsp;&nbsp;<INPUT style="WIDTH: 100px; HEIGHT: 22px" value="Contact Preference" type=hidden name=txtNote1Title>&nbsp;<INPUT style="WIDTH: 100px; HEIGHT: 22px" value="UPS Employee" type=hidden name=txtNote2Title>&nbsp;<INPUT style="WIDTH: 100px; HEIGHT: 22px" value="Reason for Contact" type=hidden name=txtNote3Title>&nbsp;<INPUT style="WIDTH: 100px; HEIGHT: 22px" value=Message/Comments type=hidden name=txtNote4Title> <INPUT value=http://www.garywelchhomeloans.com/default.aspx type=hidden name=RedirectURL> <INPUT id=Submit value="Contact Now" type=submit name=Submit><INPUT value=GCKTIXWT9LXQXY6F8BZDUIQB0SWN type=hidden name=LinkCode> </P>
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                        <TD style="PADDING-TOP: 20px" colSpan=2>&nbsp;<FONT style="FONT-SIZE: 8pt"><A href="http://www.garywelchhomeloans.com/" target=_blank>Return to</A></FONT>&nbsp; <A href="http://www.garywelchhomeloans.com/" target=_blank><IMG style="WIDTH: 170px; HEIGHT: 21px" border=0 alt="GWHL button" align=absMiddle src="http://www.garywelchhomeloans.com/emailupdates/images/btnGaryWelch.jpg"></A></TD>
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