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Please mail this form and registration fee of $40 for single session or $60 for all day. Make check payable to: Nebraska Crop Insurance Association Return address: Mike Weber Box 425 Akron CO. 80720 michaelw fmh.com N (Agent License #) 3. NPN- Ethics MPCI BOTH Lunch (NAME as it appears on Ins. License) Y (Agent License #) Any Question Contact: Mike Weber 970-580-7557 Bruce Kirdendall 402-274-7676 Travis Gellatly 402-669-8993.

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