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INFORMATION CHECKLIST Name: Address: City: Date: Telephone: Zip: State: Where did you get this form? Please mark the publications you would like to receive and mail or fax to: West Virginia Forestry
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This information will be used for distribution, sale, and exchange of seeds, and will not be given to anyone else. West Virginia State Law and Regulations This information is designed for the general information, education and information purposes only. It is expressly not intended to be, and should not be relied upon, as advice on any particular subject. Every effort has been made to ensure the accuracy of the information contained herein, however, no guarantees are given regarding accuracy. This document was developed by West Virginia State Law and Regulation and is Copyright © 2017 West Virginia State Law and Regulation. All rights reserved.

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