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Complete the below information if adding, removing or editing a GEMS user(s) <br />GEMS User 1 Add as a media contact? Yes n NonAdd/Change Remove Access <br />Name Job Title <br />Email address Phone number <br />GEMS User 2 Add as a media contact? Yes No nAdd/Change n Remove Access n <br />Name Job Title <br />Email address Phone number <br />GEMS User 3 Add as a media contact? Yes n No <br />Add/Change n Remove Access <br />Name Job Title <br />Email address Phone number <br />GEMS User 4 Add as a media contact? Yes No <br />Add/Change n Remove Access n <br />Name Job Title <br />Email address Phone number <br />GEMS User 5 Add as a media contact? Yes I I No n <br />Add/Change Remove Access <br />Name Job Title <br />Email address Phone number <br />Form completed by: ;„ «h1h Date: Oct 2,2024 <br />As a signatory I hereby authorize the listed individual(s) to represent and have GEMS user access. <br />Joseph Marty <br />Signature Name <br />Oct 2, 2024 Grant Director <br />Date Title <br />10/2/2024 9:54:57 AM Page 22 of 22