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     Scroll down from inside the box, fill out the form, and follow instructions at bottom of form.  Thank you.

   Please print and sign the form and fax to:  (775)659-2837

   Or Mail to:  Peg Trucking Inc.
                       2525 Randolph Rd.
                       Janesville, WI  53545

Once again, thank you for choosing Peg Trucking Inc.