FAX
To:	Charlie Guibord	From:	Amber Rodriguez
Fax:	(802) 555-0178	Fax:	(516) 555-0135
Phone:	(802) 555-0177	Phone:	(516) 555-0134
Subject:	Scheduling consultation	Date:	October 13, 2026
No. Pages:	2
COMMENTS
Please see form on page 2. Fill out and return by 10/31.