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Get Privacy Consent Form For Business Owners

T. Suite 716 (7th floor) Lancaster, PA 17603 Social Security Number: - - Date of Birth: / / ID Number (if applicable): I, , authorize Congressman Joe Pitts and/or a member of his staff to make inquiries of federal agencies and to view confidential information so that they can be of assistance to me with the below referenced matter. Signature: Date:.

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