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power of attorney


  1. Click on the ship above.
  2. Download and print the form.
  3. Fill-in all information as indicated.
  4. ONLY PARTNERSHIPS must fill-in the date of expiration in the last paragraph. This date should be two years in advance of the date of execution (e.g., if you signed the form on June 24, 2004, the correct date of expiration is June 24, 2006). If your company is NOT a partnership, LEAVE BLANK.
  5. Sign and date at the bottom where indicated.
  6. Mail the original to: Haines International, Inc., 1450 Church Street, Rahway, NJ 07065