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Get Colorado Licensed Importersmanufacturers Filing Requirements Form

On Form For Sole Source Applications: See instructions on back page For New Product Registrations: See instructions on back page DO NOT WRITE IN THIS SPACE ALL IMPORTERS AND MANUFACTURERS FILL OUT THIS SECTION Colorado License Number Applicant Name Federal Basic Permit Number Trade Name Telephone Number Mailing Address (Street Number, City, State, ZIP) Colorado Wholesaler(s) Product(s) will be shipped to SOLE SOURCE APPLICATIONS Name of Primary Source Telephone Number Federal Permi.

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