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ION CERTIFICATION FORM Provide the information requested below in Questions C.1 through C.8. C.1 Name of Declaration Point of Contact (D-POC): C.2 Company Name: C.3 Mailing Address: State: City: D-POC's Telephone Number: C.4 Zip Code: ext. D-POC's Fax Number: D-POC's E-mail Address: C.5 Date Submitted (YYYY-MM-DD): C.6 CERTIFICATION I hereby certify that I have reviewed the attached documents and that, to the best of my knowledge and belief, the submitted information is true and co.
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