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Get and Sign Charitable Regular License Holder Section 1 Form 2009-2022
Address
Fax Number (Area Code & Number)
Individual's Name to Contact
Phone Number (Area Code & Number)
Alternate Phone Number (Area Code & Number)
E-mail Address (optional)
OCCASIONS NOTE: This application must be received at least thirty (30) working days prior to the first occasion being requested.
4. Enter the date(s) of the temporary occasion(s).
5. Day of the week (Mon., Tues., etc.) and time the occasion(s)
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