IMPORTANT MESSAGE

Message For: ___________________________________________________________

Date: ______________________________ Time: _____________________ AM / PM
Caller: ________________________________________________________________
Organization: __________________________________________________________
Phone: (Area Code) ________ (Number) ______________________ (Ext.) _________
Fax/Cell: (Area Code) _______ (Number) _____________________ (Ext.) _________

Reason: □ Telephoned □ Please Call

□ Came to see you □ Will call again
□ Wants to see you □ Rush
□ Returned your call □ Special attention
Message: ______________________________________________________________

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Message Taken By: ______________________________________________________