I request that the Strategic Law Group, PC prepare and provide to me the Pension Protection Act Amendment required under Section 1107 of the Internal Revenue Code.

I understand that the Pension Protection Act Amendment is required to be adopted by the last day of my 2009 plan year.

I wish to receive the Pension Protection Act Amendment via:

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Company
Address
Address
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E-Mail Address
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I authorize the Strategic Law Group, PC to charge the flat fee of $395.00 to my checking or credit card account as follows:

Credit Card
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Card Number
Card Expiration Date
Card Holder Name
Card Security Code
Address
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Check
If responding by mail, include actual check along with signed authorization form.
Mail to:
Strategic Law Group, PC
Attn:  Michael Duell
3611 Valley Centre Drive
Suite 525
San Diego, CA  92130

If responding by e-mail or fax, attach scanned copy of check along with signed authorization form.
E-Mail:
mduell@strategiclawgrouppc.com
Fax:
1-858-657-0248
Attn: Michael Duell

*Company
*Amendment Authorization Form Digitally Signed
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*Date
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