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8/21/2011

Application for License

APPLICATION FOR LICENSE
I, (name of applicant), do hereby apply for a license to

display the trademark of (association), "(trademark) "

at my place of business located at (address) , in

the City of , State of .
That this application is in accordance with the

regulations of the (trade association).
I am cognizant of the regulations of (trade association)

that govern the display of said trademark and the manner

of conducting business, and I agree to abide by such

regulations at all times.
Dated:_______________ ______________________________

(Signature)

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