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Routing Guide and Transportation Requirements

March 2011


Attention Traffic Department and Customer Compliance Department

Dear Vendor, In an effort to control rising freight costs, please begin using the following guidelines for consolidating our orders before shipping our product. Our goal is to consolidate as much product as possible into a single shipment, while maintaining our required ship dates. We enjoy the successful trading partnership we have and appreciate your cooperation in adhering to our routing guidelines. These instructions supersede all previous routing instructions. It is our policy to charge back freight charges and offset expenses in the event our routing instructions are not followed. Only the Director of Operations & Distribution or Logistics Coordinator of Olympia Sports may authorize any variations of these instructions, except where otherwise indicated. It is our intent to make our routing an efficient process for all parties involved. In an effort to streamline the process, we request you utilize e-mail whenever possible or fax routing requests to the Logistics Coordinator (207-591-9055). With the large number of vendors we now have, it is almost impossible to return phone calls in a timely manner. However, do not hesitate to call if you have questions or concerns that need to be addressed. I have included in our routing guide a list of contacts to help in answering your questions. You can access basic instructions about our transportation and shipping requirements on our website ( by clicking on "About Us". Each vendor will receive a copy of our Vendor Standards Manual, providing detailed instructions for shipments. The Vendor Standards Manual is also available online at It is critical we have correct shipping addresses and contact names. Please update this information for us whenever a change occurs. A form to update this information is provided in our routing guide or on our web page. A confirmation letter for you to sign and return will be attached to the next purchase order that is placed with you to insure that you have received this information. Sincerely, Paul Fitzpatrick Director of Operations & Distribution Olympia Sports (207)854-2794 ext.107 (phone) (207)591-9055 (fax) [email protected]


Transportation Requirements

General Information 1. All future Traffic and Vendor Compliance updates will be sent to the contact person listed under the correspondence information you have provided, unless otherwise requested. 2. It is the vendor's responsibility to distribute the updated information to all departments involved, and check our website for any updates. 3. You may update your information at any time by returning the "New Vendor/Vendor Update Form". Fax the updated form to (207) 591-9055 or e-mail to [email protected] Routing Information 1. Each vendor is given specific routing instructions, including an assigned LTL and small package carrier, prior to their first shipment to Olympia Sports. 2. Ship your merchandise to the "ship to" address designated on the purchase order. The ship to address is also provided in our routing guide. 3. To control rising freight costs, it is our goal to consolidate orders as much as possible within our required ship dates. Refer to our Routing Guide: Shipment Consolidation Instructions. 4. If you have any problems arranging a carrier pickup, please contact our Logistics Coordinator, Chip Amergian, at (207)854-2794, ext. 123. 5. Our Director of Operations and Distribution or Logistics Coordinator must individually authorize all exceptions from your standard routing instructions. INDIVIDUAL BUYERS ARE NOT AUTHORIZED TO ISSUE EXCEPTIONS TO OUR ROUTING INSTRUCTIONS, EXCEPT FOR SHIP DATES. The General Merchandise Manager can authorize an exception in the absence of the Director of Operations and Distribution or Logistics Coordinator. SHIPPING INFORMATION: PLEASE REFER TO THE FOLLOWING INFORMATION OR VENDOR STANDARDS MANUAL FOR MORE COMPLETE INFORMATION REGARDING CARTONS, PACKAGING, TICKETING AND EDI INFORMATION. Bill of Lading 1. Provide itemized details for your shipment on Bill of Lading. Indicate all the purchase order number(s) and the number of cartons associated with each purchase order as well as the total number of cartons. The total number of cartons tendered to the carrier must match the number of cartons noted on the Bill of Lading. 2. A proper description of goods and correct NMFC Item #, Classification and Sub must be listed on the Bill of Lading. Classifications determined by density should indicate proper PCF 3

(Pounds per Cubic Foot) on Bill of Lading. An incorrect classification leading to an increased freight charge will result in a charge back to the vendor for the additional amount. The Bill of Lading must also include the following information: Olympia Sports' purchase order number, Store/Distribution Center number and address and number of cartons. Shipments should be delivered on reusable standard 4 way pallets. All pallets must remain intact. Freight delivered on damaged or broken pallets will result in a claim for disposal. All pallets must have stretch film wrapped around boxes. Make all pallets 4x4x8 for a total cube of 128. If you cannot make pallets 4x4x8, make the pallets 4x4x4 so they are stackable when loading onto a truck. Combine all shipments on one Master Bill of Lading when forwarding on the same day to one location. 3. The Bill of Lading number presented with the physical shipment must be the exact Bill of Lading number reflected in all of your EDI documents including the ship notice (856) and the invoice (810).

Labeling Cartons

1. If a carton is over 50 LBS, each carton must be clearly labeled, ie. 50 lbs, 100 lbs, etc. Special handling notations are to be included on each carton (ie. fragile, etc.). If an individual sku comes in two or more cartons, put the unique model number on each part and reference each part 1 of 2, 2 of 2, etc. Label each carton with the following: Vendor name and address, Olympia Sports' purchase order number, Carton count, classification by purchase order number (ie: purchase order number 1234, 1 of 2, 2 of 2), quantity contained in each carton by vendor style, color, size. All UPS shipments must have the weight listed on outside of each carton. Packing 1. Pack each purchase order separately according to purchase order and breakdown. A packing list is mandatory and must be placed on the lead box. Paper packing list are not required if an electronic ASN has been transmitted for a P.O. If you are set up as an EDI Vendor with us there is no need for individual packing lists per box as long as we get an electronic ASN detailing each box's content prior to the order landing. If UCC 128 labels are applied to each box, we eliminate the need for the packing list. The box must be marked clearly, so that the box stands out from the rest of the shipment stating the packing list is enclosed and have the following information: Vendor Name, Name of shipper, Ship Date, Distribution Center or Store Name and number, Purchase Order number, Quantity Shipped, Number of cartons, Weight, and Vendor model number. Pre-ticketing - if preticketed, please note on packing slip. NOTE: Once you have the P.O.'s boxed up and ready to put on pallets you can put several P.O.s on one pallet. You do not have to put one P.O. per pallet. Shipping 1. Appointments must be made by the carrier in advance when delivering to the Distribution Center. The following information will be needed to make an appointment: P.O.#, Vendor, Number of cartons or skids. Please email Mike Atwood [email protected] or Kevin Kennie [email protected] . Olympia Sports will not pay any notification charges from carriers. Vendors will be charged back for this. UPS Shipments do not require an appointment. In the event that the vendor is not trading EDI Documents with Olympia Sports and cannot transmit a electronic Advance Shipping Notice (ASN) then a Packing List must be e-mailed or faxed to our D.C. ATTN: Tony Jacobsky; [email protected] 4

D.C. Fax # is 207-854-3867 : All Routing Requests should be emailed to our Logistics Coordinator Chip Amergian : [email protected] Items held in Olympia's D.C. for the following discrepancies, Style, Size, Color, Quantity, Shipping incorrectly, P.O. cancellation and Vendor recalls, will be placed in a holding area. Vendor will be charged storage fees. 2. If a shipment contains multiple purchase orders, every effort must be made to separate each P.O. in the loading process. 3. Purchase Orders shipped more than 21 days prior to the expected ship date must have prior approval from Olympia's Logistics Coordinator. Orders shipped prior to this period without proper approval will result in freight carriers holding merchandise as it will not be given a delivery appointment by Olympia. All charge backs and additional freight cost incurred as a result of these orders being held or reshipped will be assigned to the vendor. All requests (regardless of size of the order) to ship merchandise prior to this shipping window must be emailed to [email protected] Buyers are not authorized to approve exceptions to this rule. Do not ship orders after cancel date of purchase order. Any order received after cancel date will be returned at vendors expense, with applicable handling expenses added. 4. DO NOT SHIP merchandise by Air Freight (Collect), unless you have received authorization from our Director of Operations & Distribution or General Merchandise Manager. A chargeback will be assessed for all unauthorized Air Freight. Air freight paid by the vendor and not paid by Olympia Sports is allowed without approval. If authorization is received to ship Air Freight, declare full invoice value on all air shipments. If a loss occurs, and full value recovery cannot be realized due to noncompliance of above, the vendor will be charged back for difference. ALL shipments by Rail must be pre-approved by the Logistics Coordinator - if no approval, Vendor will be charged back. 5. DO NOT SHIP cancelled or invalid purchase orders on the same freight bill with valid purchase orders in an attempt to insure our acceptance. 6. DO NOT SHIP merchandise substitutions unless approved in writing by the appropriate buyer. 7. DO NOT SHIP merchandise directly to our stores, unless you have received authorization from the buyer. 8. RECALL OF MERCHANDISE DUE TO VENDORS REQUEST - All associated labor and transportation expenses will be charged back to the vendor. 9. It MUST be understood that the vendor is responsible to protect and indemnify Olympia Sports against loss or damage arising from infringement of trademarks, patents or copyrights, etc. on any merchandise included in any Olympia Sports' order. 10. Through rate must be protected. 11. Original purchase orders should be shipped complete. Excessive freight charges due to multiple backorders will result in a charge back.


12. If there will be more than one shipment in one week for one Olympia Sports location, hold shipment and make one consolidated shipment, with the exception of AR Orders and Hot Market Orders. 13. Olympia Sports reserves the right to refuse or return any shipment not in compliance with our purchase order specifications, at vendor's expense. Discrepancies include, but are not limited to the following: Style, Size, Color, Quantity, Shipping instructions and P.O. cancellation policy. 14. Defective merchandise returns will be sent freight collect or prepaid, with freight charges being deducted from next available invoice. 15. AUTOMATIC CANCELLATION POLICY: This order is considered cancelled on the cancellation date or if the total backorder (remaining) is less than $51 at cost. Vendor will assume all shipping expenses if cancellation policy is not followed. Merchandise may be returned at vendors expense. If shipping, packing, invoicing and ROUTING GUIDE are not followed, a charge-back for additional expenses incurred for processing will be deducted from the vendor's invoice and a $100 administrative fee will be charged. An administrative fee of $100 will be charged for each instance any follow up is needed on vendor statements for nonrecognition of above charge backs, and if repeat replacement of back-up documentation is required for proof of charge backs or invoice deductions.

1. Backhauls When Olympia Sports and the vendor have set-up a date and time for a backhaul, and product is not ready when the Olympia Sports driver arrives, the vendor will be charged back for the drivers time, and any other charges that may apply. 1. Truck loading process Due to Hours of Service Rules, *All of our orders need to be loaded in the two hour window that the trucking company allows. If any detention fees occur the vendor will receive a chargeback for that fee. *If the driver is required to count the freight all charges that may occur will be charged back to the vendor.


Shipment Consolidation Instructions

OUR GOAL IS TO CONSOLIDATE AS MUCH PRODUCT INTO A SINGLE SHIPMENT AS POSSIBLE, WHILE MAINTAINING OUR REQUIRED SHIP DATES. OUR DESIRE IS TO UTILIZE TRUCKLOAD CARRIERS AND VOLUME PRICING FROM OUR LTL CARRIERS AS OFTEN AS POSSIBLE. REMINDER: Every effort should be made to ship Purchase Orders complete! 1. Every effort should be made to consolidate orders into one shipment per week while maintaining our required ship dates. 2. Multiple pro numbers shipped on a single day or within 5 calendar days are not acceptable. Except to accommodate AR or Hot Market Orders. 3. Charge backs for multiple shipments as stated above will be assessed. 4. Contact our Logistics Coordinator, Chip Amergian, if the consolidation process may cause the order to be shipped after cancel date. 5. When your consolidated shipment exceeds 3000 pounds or 750 cubic feet, please e-mail the Logistics Coordinator for shipping instructions by completing a "Request for Routing" form. · A sample form is provided within our Routing Guide or on our web page ( · The form can be completed on-line, and sent via e-mail to [email protected] · Form must include the following information: P.O.#, # of cartons, weight of shipment, linear feet, cube of shipment, shipping address, contact name and phone and order ready date. Linear Feet must be filled out and accurate on the Request for Routing Form. · It is critical the cube information and Linear Feet are correct. This enables us to consolidate pickups from other vendors when possible. Incorrect cube or Linear Feet resulting in an over flow at a second pickup location will result in a charge back. · Please allow a minimum of 24 hours to schedule a pickup. · Your request will be processed, and then we will contact you with the carrier information. It is the vendors responsibility to contact the appropriate carrier to schedule a pick up. · Contact the Logistics Coordinator immediately if an overflow occurs on the load. · A regular weekly pickup can be arranged by contacting the Logistics Coordinator. 6. LTL SHIPMENTS: Any shipments exceeding UPS Ground weight limit, must email Chip Amergian for Routing. States needing to use Olympia Sports private fleet will need to contact Chip Amergian. Twenty-four hours are needed to schedule a pick up. More notice would be greatly appreciated. 7

7. UPS Ground is the preferred small package carrier. If you have more than 15 cartons to ship out, you will need to email Chip Amergian for routing. DO NOT ship over 15 cartons If you are unable to use UPS Ground please send a letter to Chip Amergian explaining why you are unable to do so. All UPS Ground shipments will be shipped bill receiver collect. When using UPS Ground, band cartons together for most economical shipment. P.O. numbers must be on all cartons. We do not put our UPS Account number in the Routing Guide. Please email our Logistics Coordinator for that account number. ·When participating in the UPS Ground Collect program while shipping to Olympia Sports, you are requested to provide the Olympia Sports Purchase Order number along with the UPS Ground Tracking ID. This will allow both Olympia and its vendors to trace shipment enroute. Purchase order information should be sent electronically to UPS Ground for all outbound shipments. ·UPS cartons valued over $100.00 must be insured accordingly to small package regulation at the vendors expense. ·Vendor will pay for any handling charges. ·Olympia Sports will not pay for any oversize charges. Vendor will be charged back. *Vendor must consolidate smaller cartons into appropriate Master Cartons, minimizing multiple single pieces. Vendor must optimize package size to keep under 3 Cubic Feet (5184 cubic inches) whenever possible. These measures are necessary to minimize excess single piece charges and Dimensional Weight Rating. Failure to follow this procedure will result in Vendor Chargeback. 1) Consolidate multiple packages that incur single piece charges. Whenever possible, smaller cartons should be packed into an appropriate Master Carton. Please put "MUST OPEN TO RECEIVE" on the Master Carton. Consolidating multiple smaller packages into one a Master Carton may help reduce the rate and delivered cost dramatically. EXAMPLE: 5 cartons @ 1 lb., Zone 2 = $4.20 x 5 or $21.00; 1 carton @ 7 lbs. (allowing for Master Carton weight), Zone 2 = $5.05 2) Dimensional Weight Rating occurs when "less dense" or "lightweight" product is packaged into a carton that is excessively large. Packages that are 3 Cubic Feet (5184 Cu. Inches) or greater are subject to the Dimensional Weight Rating rule and may incur a resultant "billable weight" rating or actual weight rating, whichever is greater. NOTE: Especially when shipping "less dense" product, it is desirable to optimize package sizes to keep under 3 Cubic Feet. This way, actual weight rating will be used. 8. Overseas Containers: On any container coming from overseas to Olympia Sports, these Guidelines must be followed and the following paperwork must be faxed to Olympia Sports, Attn: Chip Amergian (Fax #207-591-9055) 1. A copy of the Bill of Lading for Motor Carriage (Delivery Order). 2. A copy of the container shipping schedule (Packing List). 3. A copy of the Entry/Immediate Delivery Form (Proof of Customs Clearance). Olympia Sports will not pay demurrage charges on any overseas containers.


High volume vendors may be required to contact Olympia Sports prior to each shipment, in order to arrange for the most cost effective method of shipping. You will receive additional information and instructions when this becomes necessary. EXCEPTIONS TO CONSOLIDATION PROCESS 1. Launch purchase orders are excluded from the process and should be shipped by the assigned LTL carrier. 2. Vendors that ship freight prepaid.

Replenishment Orders (AR's)

1. All AR P.O.'s are to ship out IMMEDIATELY either UPS Ground or UPS Freight 2. Please follow UPS weight limits and box limit for AR Shipments AR P.O.'s also qualify for the exception to the consolidation process. If an AR order consists of more than 4 pallets and over 750 cube then you will need to request routing. 3. AR orders can only ship out once a week. Do not split ship an AR P.O. 4. Do not mix AR Orders with Non AR orders on BOL's HOT MARKET ORDERS Vendor may pack all merchandise for a single purchase order into one box regardless of the number of sku's. Multiple purchase orders packed in a single box is not allowed. Vendor Chargeback will be levied if this occurs. All boxes must be clearly marked With purchase order number.

PALLETS: Olympia Sports will not be responsible for individual (empty) pallet weights exceeding 30 pounds. NATIONAL MOTOR FREIGHT CLASSIFICATION (NMFC) "All shipments of Clothing or Sporting Goods must have the proper NMFC Item and sub number, and also include the actual Density of the Shipment." Failure to do so will result in Administrative chargebacks to the vendor for the additional freight costs incurred by Olympia Sports.




ADDITIONAL CHARGEBACKS ·Any carrier or broker failing to call for an appointment: $250.00 charge ·Any carrier or broker failing to arrive within 1/2 hour of scheduled appointment without notifying receiving location: $250.00 charge ·Storage fee for any items not ordered or needing to be returned. Early shipments needing to stay in holding area until delivery date: $25.00 per day charge ·Substituted styles or styles not ordered: $100.00 per unit ·Packing list detailing shipment contents missing from lead carton or Bill of Lading: $500.00 charge + $100.00 Administration Fee. Not applied to any P.O. that has electronic ASN transmission. ·Pallets not having stretch film wrapped around boxes: $200.00 charge ·Disposal of unusable pallets: $100.00 charge ·Shipments by Rail not pre-approved: $500.00 charge ·Invalid P.O.: $500.00 charge ·Shipments made after P.O. cancellation: $200.00 charge ·P.O. number missing from Packing List or Bill of Lading: $250.00 charge. Applies to orders not having ASN. ·Shipping to wrong address - example: shipping to Retail Stores instead of Distribution Center: $10.00 charge per carton. ·B.O.L missing the N.M.F.C. Class and Sub : $250.00 charge 10


Paul Fitzpatrick Director of Operations & Distribution (207)854-2794 ext.107 (207)591-9055 fax [email protected] Chip Amergian Logistics Coordinator (207)854-2794 ext.123 [email protected] Ed D. Manganello General Merchandise Manager (207)854-2794 ext.122 (207)854-4168 fax [email protected] D.C. HOURS OF OPERATION Monday - Friday 7:30 A.M -5:00 P.M. (EST)

·IMPORTED SHIPMENTS : All air/sea shipments must be routed by Chip Amergian at 207-854-2794, ext. 123. Weight Limit STATE ALABAMA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA UPS 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 LTL CARRIER Email Olympia Sports Email Olympia Sports Old Dominion Email Olympia Sports Old Dominion NEMF NEMF Old Dominion Old Dominion Email Olympia Sports Old Dominion Old Dominion Old Dominion Old Dominion Email Olympia Sports Old Dominion Email Olympia Sports Email Olympia Sports Email Olympia Sports Old Dominion Email Olympia Sports Old Dominion Old Dominion Email Olympia Sports Email Olympia Sports STATE NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WASHINGTON DC WEST VIRGINIA WISCONSIN WYOMING CANADA Weight Limit UPS 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 0-200 LTL CARRIER Email Olympia Sports Email Olympia Sports Email Olympia Sports Email Olympia Sports NEMF Old Dominion Email Olympia Sports Email Olympia Sports Old Dominion Email Olympia Sports NEMF NEMF Old Dominion Email Olympia Sports Email Olympia Sports Old Dominion Email Olympia Sports Email Olympia Sports Old Dominion Email Olympia Sports Email Olympia Sports Old Dominion Old Dominion Email Olympia Sports Email Olympia Sports



REQUEST FOR: ___________ NEW VENDOR ___________ UPDATED INSTRUCTIONS CORRESPONDENCE INFORMATION: VENDOR NAME: (LEGAL NAME) : _____________________________________________________ D/B/A NAME: ________________________________________________________________________ STREET ADDRESS: ___________________________________________________________________ CITY/STATE/ZIP _________________________________________, ___________, _______________ ATTENTION: (REQUIRED) ____________________________________________________________ PHONE NUMBER: (REQUIRED) ________________________________________________________ FAX NUMBER: (REQUIRED) ___________________________________________________________ E-MAIL ADDRESS: ________________________ @ ________________________________________ IF VENDOR RETURNS ADDRESS IS DIFFERENT THAN THE CORRESPONDENCE ADDRESS, PLEASE COMPLETE: _________________________________________________________________ RETURNS INFORMATION: ____________________________________________________________ _____________________________________________________________________________________ VENDOR OR COMPANY NAME: _______________________________________________________ STREET ADDRESS: ___________________________________________________________________ CITY/STATE/ZIP ________________________________________, _____________, ______________ ATTENTION: (REQUIRED) ____________________________________________________________ PHONE NUMBER: (REQUIRED) ________________________________________________________ FAX NUMBER: (REQUIRED) ___________________________________________________________ E-MAIL ADDRESS: ________________________ @ ________________________________________ IF VENDOR "SHIP FROM" IS DIFFERENT THAN THE CORRESPONDENCE ADDRESS, THE SECTION BELOW MUST ALSO BE COMPLETED: ________________________________________ _____________________________________________________________________________________ SHIP FROM INFORMATION NECESSARY TO RECEIVE ROUTING INSTRUCTIONS VENDOR OR COMPANY NAME: _______________________________________________________ STREET ADDRESS : __________________________________________________________________ CITY/STATE/ZIP ___________________________ @ _______________________________________ ATTENTION: (REQUIRED) ____________________________________________________________ PHONE NUMBER: (REQUIRED) ________________________________________________________ FAX NUMBER: (REQUIRED) ___________________________________________________________ E-MAIL ADDRESS: _________________________ @ _______________________________________ TO BE COMPLETED BY OLYMPIA SPORTS: CARRIER _______________________ VENDOR________________________ DATE ENTERED BY CAO:______________ ENTERED_______________________ DATE: ___________ REQUESTED BY: __________



5 Bradley Drive · Westbrook, Maine 04092

Today's Date: _____________________ Shipping From: ____________________ _____________________ _____________________ Date ready to ship: _________________ To: Olympia Sports 5 Bradley Drive Westbrook, Maine 04092

Contact: ___________________________________ Phone: ____________________________________ Fax: ______________________________________ Email Address: _____________________ @ ________________________________________________ PO# Cartons Weight Cube Units _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ TOTAL: PO# Cartons Weight Cube Units _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________

CARTONS____________ NMFC Item #, CLASS + SUB _____________ WEIGHT _____________ LINEAR FEET __________________________ CUBE ________________ DENSITY (PCF)_________________________ UNITS________________ PALLET COUNT __________________________ STACKABLE _____YES _____NO SHIPPING HOURS _________________________ APPOINTMENT NECESSARY _______YES ______ NO OTHER INSTRUCTIONS:______________________________________________________


Acknowledgement of Receipt of

Routing Guide

I ____________________________________________ from _________________________________ HAVE RECEIVED A COPY OF YOUR ROUTING GUIDE DATED March 2011 AND HAVE PASSED IT ON TO OUR TRAFFIC DEPARTMENT. Signature ____________________________________________________________________________ Date : __________________________________ Email Address : _______________________ @ _____________________________________________



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