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The Applicant warrants and represents that the information on this application is true and complete. Any false information by the Applicant in this application will constitute grounds for rejection thereof at the sole discretion of management. All persons and/or firms identified in this application by Applicant are authorized to freely give any information requested by management concerning Applicant. Applicant hereby waives all rights of action for any consequences resulting from such disclosure of information.

There is an application fee of $35.00 per person.


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