input form with dental - Salt Lake Homeopathy€¦ · /%+0 +%*’ (-,’-.%0(1 % .@9C2B6 (62;B842@6...
Transcript of input form with dental - Salt Lake Homeopathy€¦ · /%+0 +%*’ (-,’-.%0(1 % .@9C2B6 (62;B842@6...
/%+0 +%*' (-,'-.%0(1% .@9C2B6 (62;B842@6 ,6<36@A89? %AA>492B9>= #.(,%$
)=7>@<65 &>=A6=B
Please note: This form must be signed, witnessed and dated.
'1A/9021 +@?=6?6;9/7 ,=;4=/8>
9VTLVWH[O` PZ HU HS[LYUH[P]L YLTLK` IHZLK VU [OL SH^ VMZPTPSHYZ c [OH[ PZ' [OL \ZL VM [PU` KVZLZ VM [OL ]LY` [OPUNZ [OH[JH\ZL Z`TW[VTZ PU OLHS[O` WLVWSL) COLZL TPU\[L KVZLZ VM WSHU['IVQUIT( WZ UQVMZIT WZQOQV[ IZM ][ML \W [\QU]TI\M \PM JWLaf[ IJQTQ\a[V OLHS P[ZLSM)
;U Z[YLUN[OLUPUN KLMPJPLU[ HYLHZ VM [OL IVK`' 9VTLVWH[O`MVJ\ZLZ VU H OVSPZ[PJ [YLH[TLU[ HWWYVHJO HUK KPMMLYZ MYVT[YHKP[PVUHS ELZ[LYU TLKPJPUL) EOPSL 9VTLVWH[O` WYLKH[LZ>H[\YVWH[O`' 9VTLVWH[O` PZ JVUZPKLYLK H UH[\YVWH[OPJKPZJPWSPUL2 BHS[ <HRL 9VTLVWH[O` MVJ\ZLZ VU HWWYVHJOLZ YVV[LKZVSLS` PU W\YL 9VTLVWH[OPJ WYPUJPWSLZ) 3Z Z\JO' E6 3A6 >?C<;46>B65 >3CDA?@3C9;4 ?A CA35;C;?>3< =65;43<@9FB;4;3>B)
);82;</?560 ,=/0?602 #;@= /<<=;/05$ A>% +/?@=;</?560(;0?;=> ;= ,5B>606/9>&
;U [OL Z[H[L VM D[HO' 9VTLVWH[OZ HYL UV[ Z\IQLJ[ [V SPJLUZPUNYLX\PYLTLU[Z) ?U [OL V[OLY OHUK' >H[\YVWH[OPJ @O`ZPJPHUZ' VYd?I\]ZWXI\P[e WN\MV ]\QTQbM UMLQKIT UWLITQ\QM[ QV \PMQZ XZIK\QKM[HUK JVUZLX\LU[S` HYL YLX\PYLK [V Z\ITP[ [V JLY[HPU SPJLUZPUNYLX\PYLTLU[Z PU [OL Z[H[L VM D[HO) 3TVUN V[OLY [OPUNZ' H SPJLUZLK>H[\YVWH[O TH` IL SPJLUZLK [V NP]L PUQLJ[PVUZ' WLYMVYT TPUVYZ\YNLYPLZ HUK HKTPUPZ[LY ]HYPV\Z TLKPJHS L_HTPUH[PVUZ)3KKP[PVUHSS`' SPRL [YHKP[PVUHS TLKPJHS KVJ[VYZ' >H[\YVWH[OZ TH` ILSPJLUZLK [V WYLZJYPIL JVU[YVSSLK Z\IZ[HUJLZ [V WH[PLU[Z)
COL 9VTLVWH[OZ H[ BHS[ <HRL 9VTLVWH[O` @9=3 HYL UV[SPJLUZLK HZ >H[\YVWH[OPJ @O`ZPJPHUZ VY [YHKP[PVUHS TLKPJHSKVJ[VYZ' HUK KV UV[ JVUK\J[ [OL WYVJLK\YLZ V\[SPULK HIV]L' UVYKV [OL` JVUK\J[ PU]HZP]L [LZ[PUN VY WYLZJYPIL TLKPJH[PVUZ) DUKLYV\Y HWWYVHJO' ^L \[PSPaL T\ZJSL [LZ[PUN [LJOUPX\LZ [V H[[LTW[ [VPKLU[PM` ZWLJPMPJ ^LHRULZZLZ PU [OL Z`Z[LTZ VM [OL IVK`' HUK [VKL[LYTPUL [OL HWWYVWYPH[L OVTLVWH[OPJ VY OLYIHS YLTLK` [VZ[YLUN[OLU VY Z\WWVY[ [OL HYLH VM JVUJLYU) 9V^L]LY' [OL9VTLVWH[OZ H[ BHS[ <HRL 9VTLVWH[O` KV UV[ [YLH[ VY KPHNUVZLTLKPJHS JVUKP[PVUZ' PSSULZZLZ' VY KPZLHZLZ' HUK' PU JHZLZ VM HUPTTLKPH[L TLKPJHS LTLYNLUJ`' ^L YLMLY HSS JSPLU[Z [V PTTLKPH[LS`JVU[HJ[ H TLKPJHS KVJ[VY)
+/82 /91 7;0/?6;9 ;3 ;@= );82;</?5>1
=Y) 8LUL 9HYRPUZBHS[ <HRL 9VTLVWH[O` @9=3++,+ 6HZ[ -0** BV\[O' 4(+.*BHS[ <HRL 4P[`' DC /.+,.
=Z) <VYYHPUL <VUUPLBHS[ <HRL 9VTLVWH[O` @9=3++,+ 6HZ[ -0** BV\[O' 4(+.*BHS[ <HRL 4P[`' DC /.+,.
@H`TLU[ HUK MLLZ1
COL 9VTLVWH[OZ H[ BHS[ <HRL 9VTLVWH[O` HYL UV[ JVU[YHJ[LK^P[O PUZ\YHUJL WYV]PKLYZ PU HU` MVYT) @H`TLU[ [V BHS[ <HRL9VTLVWH[O` PZ L_WLJ[LK H[ [OL [PTL VM ZLY]PJL ]PH JHZO' JOLJR'VY JYLKP[ JHYK) ;UP[PHS HUK 7VSSV^(\W ]PZP[Z HYL #+** %ZLL BLY]PJL=LU\)& EL HJJLW[ TVZ[ JYLKP[ JHYKZ) ?\[Z[HUKPUN IHSHUJLZ HYLJHYYPLK H[ [OL HUU\HS YH[L VM +/$
3WWVPU[TLU[Z JHU IL JOHUNLK VY JHUJLSSLK VUS` PU WLYZVU \W [V[^V I\ZPULZZ KH`Z ILMVYL [OL ZJOLK\SLK [PTL) =PZZLKHWWVPU[TLU[Z HYL Z\IQLJ[ [V H #+** TPZZLK HWWVPU[TLU[ MLL) FV\^PSS IL UV[PMPLK PM [OLYL HYL HU` JOHUNLZ VM ZLY]PJLZ VY JOHYNLZ)
,=;1@0? ./72>&
9VTLVWH[OPJ HUK OLYIHS YLTLKPLZ HUK V[OLY U\[YP[PVUHSZ\WWSLTLU[Z HYL H]HPSHISL MVY W\YJOHZL VU ZP[L H[ BHS[ <HRL;WUMWXI\Pa NWZ aW]Z KWV^MVQMVKM* DPM ;WUMWXI\P[fYLJVTTLUKH[PVU MVY Z\WWSLTLU[Z PZ UV[ H WYLZJYPW[PVU MVYTLKPJH[PVU' OV^L]LY' HUK [OL Z\WWSLTLU[Z VMMLYLK I` BHS[ <HRL9VTLVWH[O` HYL UV[ WYLZJYPW[PVU KY\NZ PU[LUKLK [V J\YL TLKPJHSPSSULZZ) FV\ HYL UV[ YLX\PYLK [V W\YJOHZL HU` P[LTZ VYZ\WWSLTLU[Z YLJVTTLUKLK I` [OL 9VTLVWH[OZ H[ BHS[ <HRL9VTLVWH[O`) FV\ HYL MYLL [V KLJSPUL HU` YLJVTTLUKLK YLTLK`VY [V W\YJOHZL [OLZL VY ZPTPSHY X\HSP[` WYVK\J[Z H[ [OL YL[HPSLY VM`V\Y JOVPJL)
-645?>&
COL 9VTLVWH[OZ H[ BHS[ <HRL 9VTLVWH[O` ^PSS PUMVYT `V\ VM [OLWYVJLK\YL PU]VS]LK PU `V\Y JHYL' [OL VW[PVUZ HUK HS[LYUH[P]LZ MVY[YLH[TLU[ HUK [OL YPZRZ PU]VS]LK) FV\ OH]L [OL YPNO[ [V OH]L `V\YX\LZ[PVUZ HIV\[ [OL WYVJLZZ HUZ^LYLK JVTWSL[LS`)
GW] PI^M \PM ZQOP\ \W SVW_ aW]Z ;WUMWXI\Pf[ I[[M[[UMV\ IVLWYVWVZLK YLTLKPLZ)
FV\ OH]L [OL YPNO[ [V JV\Y[LV\Z ZLY]PJL' MYLL MYVT HI\ZL)
FV\Y YLJVYKZ HUK [YHUZHJ[PVUZ ^P[O BHS[ <HRL 9VTLVWH[O` ^PSS ILRLW[ JVUMPKLU[PHS HUK ^PSS UV[ IL YLSLHZLK [V HU` [OPYK WHY[` \USLZZH\[OVYPaLK I` `V\ VY HZ YLX\PYLK I` SH^)
FV\ OH]L [OL YPNO[ [V HJJLZZ V[OLY JVTT\UP[` ZLY]PJLZ' [VJOHUNL 9VTLVWH[OZ H[ HU` [PTL' HUK [V YLM\ZL ZLY]PJLZ)
GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGBPNUH[\YL 5H[L
GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG@YPU[LK >HTL EP[ULZZ
GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG5H[L
4%.5 .%-) +1/)12%5+7# % 23,6%5) +)%.5+'%3) /)/&)34+,2
%441',%5,10 $ 45%0(%3( 1* '%3) 45%5)/)05
DKU] >KTO ;XVOXYK]Rb S\ K B[S_K]O ;OKU]RMK[O
?OVLO[\RSY 3\\XMSK]SXW `RSMR [OZ^S[O\ K
?OVLO[\RSY KQ[OOVOW] ]X LO \SQWON KWN K $-,
VOVLO[\RSY POO ]X LO YKSN SW KN_KWMO XP
VKTSWQ KW KYYXSW]VOW]( NS\M^\\SWQ YK[]SM^UK[
ROKU]R MXWMO[W\ X[ Y^[MRK\SWQ K_KSUKLUO
RXVOXYK]RSO\ X[ W^][S]SXWKU Y[XN^M]\*
D]KWNK[N XP 5K[O KWN DMXYO XP B[KM]SMO2 ERO
\]KWNK[N XP MK[O K] DKU] >KTO ;XVOXYK]Rb( 3
B[S_K]O ;OKU]RMK[O ?OVLO[\RSY 3\\XMSK]SXW
&B;?3' VKb NSPPO[ SW \XVO K[OK\ P[XV ]RX\O
\]KWNK[N\ NOOVON KMMOY]KLUO Lb ]RO F]KR
?ONSMKU 3\\XMSK]SXW( ]RO F]KR D]K]O 4XK[N XP
?ONSMKU B[KM]SMO( ]RO 3VO[SMKW ?ONSMKU
3\\XMSK]SXW( ]RO 3VO[SMKW 5XUUOQO XP BRb\SMSKW\(
KWN VKWb X]RO[ X[QKWScK]SXW\ `RX K[O ]RX^QR]
]X [OY[O\OW] ]RO \]KWNK[N XP MXW_OW]SXWKU
VONSMKU MK[O* ?KWb XP DKU] >KTO ;XVOXYK]Rb%\
\]KWNK[N\ K[O KU\X MXW\S\]OW] `S]R ]RX\O XP ]RO
3VO[SMKW ;XUS\]SM ?ONSMKU 3\\XMSK]SXW( ]RO
WO`O[ 3VO[SMKW 4XK[N XP <W]OQ[K]S_O ?ONSMSWO(
]RO 3VO[SMKW 5XUUOQO PX[ ]RO 3N_KWMOVOW] XP
?ONSMSWO( KWN ]RO <W\]S]^]O XP 8^WM]SXWKU
?ONSMSWO KWN ]RO 3VO[SMKW <W\]S]^]O XP
;XVOXYK]Rb* 4b \SQWSWQ X^[ NS\MUX\^[O
\]K]OVOW]( VOVLO[\ KMTWX`UONQO ]RK] ]RO\O
VX[O Y[XQ[O\\S_O VONSMKU \]KWNK[N\ KWN
KYY[XKMRO\ VKb LO K \SQWSPSMKW] YK[] XP ]ROS[
MXW\^U]SWQ KWN [OMXVVOWNK]SXW [OQSVOW K] DKU]
>KTO ;XVOXYK]Rb( B;?3* HO OWMX^[KQO bX^ ]X
RK_O K Y[SVK[b ?6 `S]RSW ]RO ^\^KU KWN
M^\]XVK[b SW\^[KWMO \b\]OV* DSWMO `O K[O WX]
YK[]SMSYK]SWQ Y[X_SNO[\ SW ]RO ^\^KU \OW\O( ]RO[O
VKb LO OaYOW\S_O Y[XMON^[O\ ]RK] VKb LO
KYY[XY[SK]O PX[ bX^ ]RK] `SUU LO MX_O[ON XWUb SP
X[NO[ON ]R[X^QR \^MR K YRb\SMSKW* HO K[O WX]
VONSMKU NXM]X[\( WK]^[XYK]RSM YRb\SMSKW\ X[
USMOW\ON K\ \^MR* HO OVYRK\ScO ]RK] `O K[O WX]
KW OVO[QOWMb [XXV X[ ^[QOW] MK[O PKMSUS]b*
DO[SX^\ Y[XLUOV\ \^MR K\ KM^]O MRO\] YKSW(
\RX[]WO\\( XP L[OK]R( \O_O[O KLNXVSWKU YKSW(
O]M*( \RX^UN LO RKWNUON SW KW KM^]O MK[O \O]]SWQ
X[ Lb MKUUSWQ 1--*
ERS\ Y[KM]SMO S\ MXW\S\]OW] `S]R ]RO \]KWNK[N XP
VONSMKU MK[O SW F]KR* 3UU Y[KM]SMO\ K[O
X]RO[`S\O MXW\S\]OW] `S]R ]RO \]KWNK[N XP
VONSMKU MK[O SW F]KR KWN+X[ ]RO \]KWNK[N\ PX[
WXW)USMOW\ON Y[KM]S]SXWO[\ SW F]KR*
HO ^\O K WXW)Y[O\M[SY]S_O MXW\^U]SWQ VO]RXN
`RO[OLb `O NX WX] NSKQWX\S\ X[ ][OK] NS\OK\O
L^] `O NX ^\O TSWO\SXUXQb V^\MUO ]O\]SWQ(
MXVY^]O[ K\\S\]ON ]O\]SWQ KWN [OYO[]X[ScK]SXW
]X NO]O[VSWO `RK] `OKTWO\\O\ ]RK] VKb OaS\]
SW LXNb \b\]OV\ KWN `RK] W^][S]SXWKU( RO[LKU
[OVONSO\ X[ RXVOXYK]RSM [OVONSO\ VKb LO
\^QQO\]ON* HO NS\MUX\O KUU ]RO [OVONSO\ ]RK] K[O
NS\MX_O[ON ]RK] VKb LO ROUYP^U SWMU^NSWQ SW
XPPSMO \^L]UO OWO[Qb [OQSVO\* <] S\ bX^[
[O\YXW\SLSUS]b ]X Y^[MRK\O \^QQO\]ON [OVONSO\
KWN ]X ^\O ]ROV K\ \^QQO\]ON* <] S\ bX^[
[O\YXW\SLSUS]b ]X TOOY bX^[ PXUUX` ^Y
KYYXSW]VOW]\* IX^[ ROKU]R S\ bX^[
[O\YXW\SLSUS]b* HO VKTO WX Q^K[KW]OO\*
6S\MUX\^[O2 DKU] >KTO ;XVOXYK]Rb S\ K Y[S_K]O
Y[KM]SMO* 3UU VOVLO[\ VKb MRXX\O ]X Y^[MRK\O
[OMXVVOWNON Y[O\M[SY]SXW\ X[ W^][KMO^]SMKUN
&NSO]K[b \^YYUOVOW]\' OU\O`RO[O* ERO[O S\ WX
XLUSQK]SXW ]X Y^[MRK\O ]ROV RO[O* HO XWUb
_OWN ]RO RSQRO\] Z^KUS]b \^YYUOVOW]\( KU]RX^QR
VKWb \^YYUOVOW]\ [OMXVVOWNON VKb LO
PX^WN SW UX`O[ Z^KUS]b _O[\SXW\ OU\O`RO[O* HO
^[QO VOVLO[\ ]X MRXX\O ]RO RSQRO\] Z^KUS]b
\^YYUOVOW]\ K_KSUKLUO* B>73D7 C787C EA E;7
C7EFC@ A8 BCA6F5E C7DEC<5E<A@D BA><5I* 3\
K MX^[]O\b K $-,, _S\S] MRK[QO S\ K_KSUKLUO PX[
VOVLO[\ ]RK] Y^[MRK\O ]RO \^QQO\]ON [OVONSO\
KWN W^][S]SXWKU Y[XN^M]\ P[XV DKU] >KTO
;XVOXYK]Rb B;?3 X]RO[`S\O ]RO $0,, YO[
RX^[ [K]O KYYUSO\*
APPSMO _S\S]\ K PXUUX` ^Y2 A^[ [O\YXW\SLSUS]b PX[
MXW\^U]K]SXW S\ WX NSPPO[OW] P[XV KWb X]RO[
ROKU]R MK[O XPPSMO* BRXWO MKUU\ KWN OVKSU( ^WUO\\
X]RO[`S\O \YOMSPSON( K[O WX] K \^L\]S]^]O PX[
KYY[XY[SK]O XPPSMO PXUUX` ^Y* 8KSU^[O ]X PXUUX`
^Y SW K ]SVOUb PK\RSXW LK\ON XW X^[ \^QQO\]ON
\MRON^UO Y[OMU^NO\ X^[ MKYKMS]b ]X MXW\^U] `S]R
bX^* 5RKWQO\ SW ][OK]VOW] YUKW\ [OZ^S[SWQ
NXM^VOW]K]SXW `SUU LO NXWO XWUb Lb
KYYXSW]VOW] X[ \YOMSPSON ]OUOYRXWO KWN+X[
OVKSU MXW\^U]K]SXW* ?OVLO[\ `RX K[O VX[O
]RKW / VXW]R\ SW K[[OK[\ PX[ [OMXVVOWNON
PXUUX` ^Y _S\S]\ `SUU LO [OZ^S[ON ]X LO \OOW
LOPX[O KWb KNNS]SXWKU X[NO[\ K[O [OMXVVOWNON*
D3>E >3=7 ;A?7AB3E;I( 3 BC<G3E7
;73>E;53C7 ?7?47CD;<B 3DDA5<3E<A@
A88<57 G<D<E BA><5I <D E;3E 5A@DF>E<@9 877D
3C7 @AE C78F@634>7*
5KWMOUUK]SXW\2 @O` VOVLO[\ `RX PKSU ]X MKWMOU
KYY[XY[SK]OUb `S]RSW . P^UU L^\SWO\\ NKb\ K[O
MRK[QON ]RO P^UU WO` VOVLO[ POO ]RK] S\
WXW[OP^WNKLUO* 8KSU^[O ]X MKWMOU PXUUX` ^Y
KYYXSW]VOW]\ `S]RSW . L^\SWO\\ NKb\ `SUU LO
N^Ub WX]ON* ?OVLO[\ `RX [OYOK]ONUb PKSU ]X
KYY[XY[SK]OUb MKWMOU PXUUX` ^Y _S\S]\ `SUU LO
[OZ^S[ON ]X YKb SW KN_KWMO PX[ \^L\OZ^OW]
_S\S]\*
8OO\2 5XW\^U]K]SXW\ K[O $0,, YO[ RX^[* 8XUUX`
^Y MXW\^U]K]SXW\ K[O LSUUON K] ]RO \KVO [K]O\*
8OO\ PX[ APPSMO BXUSMSO\ \OVSWK[\ KWN PX[^V\ `SUU
_K[b LK\ON XW ]RO \YOMSPSM _OW^O KWN ]XYSM*
5^[[OW]Ub ]RO[O S\ K $-,, \]KWNK[N POO ]RK] S\
MRK[QON PX[ VX\] _S\S]\ ]RK] PKUU SW]X ]RO ?^\MUO
EO\]SWQ O_KU^K]SXW XP ROK]R MXWNS]SXW\ KWN
`OKTWO\\ `RSMR VKb SWMU^NO ]RK] VKb SWMU^NO
W^][S]SXW( RO[LKU [OVONSO\( RXVOXYK]Rb X[ USPO
\]bUO [OMXVVOWNK]SXW* ERS\ $-,, MRK[QO S\
K_KSUKLUO PX[ VOVLO[\ ]RK] Y^[MRK\O ]RO
\^QQO\]ON [OVONSO\ KWN W^][S]SXWKU Y[XN^M]\
P[XV DKU] >KTO ;XVOXYK]Rb B;?3*
BKbVOW]2 A^[ YKbVOW] YXUSMSO\ K[O NSPPO[OW]
P[XV ]RX\O XP VX\] MUSWSM\ SW ]RK] YKbVOW] S\
OaYOM]ON K] ]RO ]SVO XP \O[_SMO* HO NX WX]
YK[]SMSYK]O SW KWb `Kb `RK]\XO_O[ `S]R
?ONSMK[O X[ ROKU]R SW\^[KWMO* 5UKSV\ PX[ X^[
\O[_SMO\ MKWWX] LO \^LVS]]ON ]X ?ONSMK[O* HO
NX WX] RK_O KWb MXW][XU X_O[ ]RO\O YXUSMSO\*
ERO[O S\ WX Q^K[KW]OO ]RK] \^LVS]]ON MUKSV\ `SUU
[O\^U] SW MX_O[KQO Lb ROKU]R SW\^[KWMO Y[X_SNO[\
X[ ROK]R \K_SWQ\ KMMX^W]\ XP _K[SX^\ PX[V\*
B[S_KMb2 DKU] >KTO ;XVOXYK]Rb( 3 B[S_K]O
;OKU]RMK[O ?OVLO[\RSY 3\\XMSK]SXW(
?OVLO[\RSY 3Q[OOVOW] NO\M[SLO\ Y[S_KMb KWN
X]RO[ MO[]KSW SVYUSON KWN KMTWX`UONQON [SQR]\
XP Y[S_KMb* 3 MXYb S\ K_KSUKLUO XW ]RO SW]O[WO] K]
HHH*\KU]UKTORXVOXYK]Rb*MXV X[ K MXYb MKW
LO Y[X_SNON SP bX^ NX WX] RK_O KMMO\\ ]X ]RO
SW]O[WO]*
7VKSU2 DSVYUO SWZ^S[SO\ Lb OaS\]SWQ VOVLO[\
`SUU LO KW\`O[ON K] WX MRK[QO* <P ]RO Z^O\]SXW S\
NOOVON K PXUUX` ^Y X[ S\ K YRX]X X[ \SQWK]^[O
MROMT KYYXSW]VOW]( ]RO[O `SUU LO K VSWSV^V
$-,, MRK[QO X[ ]RO M^\]XVK[b RX^[Ub MRK[QO PX[
VX[O MXVYUOa MXW\^U]K]SXW\* BUOK\O LO
Y[OYK[ON ]X XPPO[ M[ONS] MK[N # ^WUO\\ `O
KU[OKNb RK_O S] XW PSUO* HO XWUb KW\`O[ OVKSU
SWZ^S[SO\ PX[ [OQS\]O[ON VOVLO[\* EOUOYRXWO
MXW\^U]K]SXW\2 3_KSUKLUO XW [OZ^O\] KWN `SUU
[OZ^S[O KYY[XY[SK]O \MRON^USWQ* ERO\O `SUU LO
MRK[QON X^] K] ]RO M^\]XVK[b RX^[Ub [K]O\ PX[
]RK] Y[KM]S]SXWO[* BKbVOW] `SUU LO [OZ^O\]ON Lb
M[ONS] MK[N X[ MROMT SW KN_KWMO*
< KMTWX`UONQO ]RK] < RK_O [OKN KWN ^WNO[\]KWN ]RO KLX_O YXUSMSO\2
< RK_O [O_SO`ON KWN KQ[OO ]X ]RO KLX_O YXUSMSO\2
JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ
B[SW] @KVO DSQWK]^[O KWN NK]O
'$#)(+& %,. /'$ -#//$.+ ,% )(%$
JTae X RTb P]S aP cTb U^ a bTae X RTb ^U U T aTS Qh JP[ c CPZT @^\T^_PcWh 8 GaX eP cT @TP [ cWRP aT DT\QTabW X_8bb^R XP c X^] &G@D8'
JP[c CPZT @^\T^_PcWh G@D8) dbTb P] PSeP]RTS R^\_dcTa aT_Tac^ah U^a ;[PbbXRP[ P]S ;^]bcXcdcX^]P[ @^\T^_PcWXRaTR^\\T]SPcX^]b _Ta W^da Pc cWT aPcT ^U #/4-+-- _Ta W^da+
=bbT]cXP[b Ga^VaP\JcT_ .
A]XcXP[ GPaP*R[TP]bX]V Ga^VaP\ Xb #.--7 Pb fT[[ Pb TPRW P]S TeTah U^[[^f*d_ eXbXc Xb P] PSSXcX^]P[ #.--
(A]XcXP[ P]S >^[[^f*d_b TeP[dPcX^]b \Ph QT PRR^\_[XbWTS cWa^dVW DdbR[T KTbcX]V ^U bXV]PcdaT) _W^c^VaP_W ^ad]c^dRWTS SXVXcP[ X\PVTb fXcW cWT bP\T R^]R[dbX^]b Pb cW^dVW X] _Tab^]+
JcT_ /
=8M ,=[TRca^STa\P[ JRaTT]X]V
JTbbX^] F]T * ITbc^aX]V RT[[Pa _PcWfPhb P]S R^\\d]XRPcX^]b &15 cTbcX]V' ++++++++++++++++++++++++++++++++++ #.--JTbbX^] Kf^ 9dX[SX]V P J^[XS 8SaT]P[ >^d]SPcX^] ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ #.--JTbbX^] KWaTT @^a\^]T 9P[P]RX]V +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ #.--JTbbX^] >^da A\\d]T JhbcT\ ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ #.--JTbbX^] >XeT <T]cP[ JRP] ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ #.--
' >TTb S^ ]^c X]R[dST P]h W^\T^_PcWXR) bX]V[T ^a R^\QX]PcX^] aT\TSXTb) ]dcaXcX^]P[ bd__[T\T]cb ^a WTaQP[R^\QX]PcX^]b
HdP]cd\ ITU[Tg 8]P[hbXb * HI8
KWT ^UUXRT eXbXc UTT Xb #/4-+-- _Ta W^da &QPbTS ^] 22 \X]dcTb _Ta W^da') _a^aPcTS U^a cWT PRcdP[ cX\T b_T]c fXcW cWTR[XT]c+ KWT R^\_[TcT X]XcXP[ eXbXc Xb ch_XRP[[h 3- c^ 5- \X]dcTb fWXRW X]R[dSTb P cW^a^dVW aTeXTf ^U _aTbT]c ]dcaXcX^]P[R^]RTa]b P]S P] PSeP]RTS) R^\_aTWT]bXeT ]dcaXcX^]P[ _a^VaP\ X]R[dSX]V aTR^\\T]STS bcPcT *^U*cWT*Pac ]dcaXcX^]P[bd__[T\T]cb+ EdcaXcX^]P[ cTbcX]V fX[[ QT _TaU^a\TS c^ _X]_^X]c *cPaVTc b_TRXP[ Q^Sh ]TTSb+ X] PSSXcX^]) HI8BX]TbX^[^VXRP[ cTbcX]V \Ph QT dbTS c^ WT[_ XST]cXUh b_TRXUXR ]TTSb P]S X]cTaUTaT]RT UXT[Sb+ >^[[^f *d_ P__^X]c\T]cb PaTdbdP[[h aTR^\\T]STS Pc # c^ 4 fTTZ X]cTaeP[b P]S PeTaPVT 3- \X]dcTb ^a [Tbb _Ta bTbbX^]) ST_T]SX]V ^] cWT TgcT]c ^UTPRW R[XT]c%b ]TTSb P]S R^]RTa]b+
;^\_[TcT A]XcXP[ =eP[dPcX^] 8__^X]c\T]c &P[[^f 3- * 5- \X]dcTb' +++++++++++++++++++++++++++++++++++++++++++++++++++#/4-*#1/-
HI8 "JTc L_" KTbcX]V ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ #.2-;^\\P]S ;T]cTab6 KTbc U^a =]R^SX]V) KTbc U^a DTSX*9^Sh GPRZb) KTbcX]V U^a KPaVTcTS EdcaXcX^]) KTbcX]V
BXS]Th,9aPX] >d]RcX^]) G^fTa ;WPX] KTbcX]V) EdcaXcX^] KTbcX]VJcT_ A l ITbc^aX]V P] 8[ZP[X]T _@ &P[[^f 0- k12 \X]dcTb'+++++++++++++++++++++++ ++++++++++++++++++++++++++ +#.2- * #/2-JcT_ AA l E^a\P[XiT @^a\^]T 9P[P]RT &P[[^f 0- k 12 \X]dcTb' +++++++++++++++++++++++++++++++++++++++++ +#.2- * #/2-JcT_ AM l =[X\X]PcT ;Wa^]XR A]UTRcX^]b &P[[^f 3- \X]dcTb' +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ #/4-JcT_ M l ITYdeT]PcT cWT 9^Sh%b JhbcT\b &P[[^f 5- \X]dcTb' +++++++++++++++++++++++++++++++++++++++++++++++++++++++ #1/-
(=eP[dPcX^]b RP] cPZT [^]VTa cWP] cWT TbcX\PcTS cX\T fWT] _a^Q[T\b PaT \^aT R^\_[XRPcTS ^a cWTaT Xb P [PaVT ]d\QTa ^U`dTbcX^]b PbZTS SdaX]V cWT P__^X]c\T]c ;[XT]c WP]S^dcb PaT PePX[PQ[T c^ _a^eXST X]U^a\PcX^] ^] \P]h R^\\^] `dTbcX^]b+NWPc fX[ [ ZTT_ cWT TeP[dPcX^] cX\T c^ P \X]X\d\ Xb R^\_[TcX]V cWT ">AIJK KAD= =M8CL8KAFE" U^a\ _aX^a c^ cWT X]XcXP[P__^X]c\T]c+ O^d fX[[ ]TTS c^ R^\_[TcT cWT "FE*?FAE? =M8CL8KAFE" U^a\ U^a TPRW PSSXcX^]P[ eXbXc+ AU cX\T WPb c^ QT dbTSSdaX]V cWT P__^X]c\T]c c^ R^\_[TcT cWT ">AIJK KAD= =M8CL8KAFE" ^a cWT "FE*?FAE? =M8CL8KAFE" U^a\b cWT R^bc\Ph QT \^aT U^a cWT P__^X]c\T]c+ EdcaXcX^]P[ P]S <Tc^gXUXRPcX^] Ga^SdRcb PaT X] PSSXcX^] c^ cWT UTTb+
MPbcd G[P]]X]V P]S IT\TSXPcX^]
@^\T =]TaVh IT\TSXPcX^] &MPbcd*bWPbcP f^aZ' +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ #/4- _Ta W^da
DPcTaXP[b PaT ^aSTaTS PUcTa _[P]]X]V bTbbX^] P]S aT`dXaT P 2-$ ST_^bXc+
(KT[T_W^]T R^]bd[cX]V k ]^ RWPaVT U^a R[PaXUXRPcX^] RP[[b+ E^a\P[ RWPaVTb P__[h U^a P[[ ^cWTa RP[[b+