norml14 - Page 2

 Please cormect with:
 Lawrence Elfiott Hirsch & Associates, Counselors at Law, P°C.
 1700 Sansom Street, Suite 501, Philadelphia, PA 19103
 Telephone (215) 496-9530 _ Fax (215) 496_9532 _ E-mai|: |eh36@ao|.eom
 YES I want to be a part of the Compassionam Class Actionjbr Medicatization of Cannabis
 [] [ want to be added to the Compassionate Class Action mailhng listo
 [] I want to become a Om_passionate Class Action member°
 Condition which necessitages your medicinal marijuana use
 [] I want to contribute resources to the ConLpassionate Class Action suit.
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 THANK YOU