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| Title |
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| RE: (Name of Applicant) |
| Dear (Name of Pertinent Contact): |
| (Name of Applicant) has applied for the position of (specify) with our company and has authorized us, in writing, to communicate with you for verification and reference information (copy of written authorization enclosed). Kindly complete the enclosed information sheet and return it to us immediately. |
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| Date: | Name: | Title: |
Copyright 1995 Steven M. Sack
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