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O. Box 3469 Honolulu Hawaii 96801 Access this form via website at cca.hawaii. gov/pvl PROGRAM SPONSOR AGREEMENT FOR CONTINUING EDUCATION CE PROGRAM TITLE FOR OFFICE USE ONLY INSTRUCTIONS 1. If any are received they will be discarded. CONTINUED ON PAGE 2 DT-02 0517N 170. 50 DATE The course s shall be in compliance with section 16-79-141 Hawaii Administrative Rules HAR. A certificate of attendance shall be issued to each attendee and include the following Name of sponsoring organization Course...

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