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Well CORE SERVICES UW ORDER FORM ORDERING INSTRUCTIONS: All sections of this form must be completed for your order to be processed. Your P.I. or authorized purchaser must sign this form. Email completed

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All sections of this form include personal information, financial information, and any other relevant details required for filing.

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Any individual or entity that meets the filing requirements set forth by the governing body must file all sections of this form.

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The purpose of all sections of this form is to gather necessary information for compliance and reporting purposes as required by the governing body.

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