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Smokeless Saturday Student Referral Form Date: ___ Students Name: ___ School: ___ County: ___ Referred for (circle all that apply): CigarettesCurrent Grade: ___ECigarettesSmokeless TobaccoOther: ___Parent/Guardian
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Begin by selecting the Breaform smokeless Saturday form.
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Smokeless Saturday Breaform is a form used to report information about smokeless tobacco sales on designated Saturdays.
All retailers selling smokeless tobacco products are required to file the Smokeless Saturday Breaform.
To fill out the Smokeless Saturday Breaform, retailers need to provide information about the quantity of smokeless tobacco products sold on designated Saturdays.
The purpose of Smokeless Saturday Breaform is to track and monitor smokeless tobacco sales on specific Saturdays to ensure compliance with regulations.
Retailers must report the quantity of smokeless tobacco products sold, the date of sale, and any relevant promotions or discounts offered on the designated Saturdays.
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