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Get TX TDA RWM-707 2014

TexasAgriculture. gov Texas Department of Agriculture Consumer Information Sticker Replacement Order Form RWM-707 TODD STAPLES COMMISSIONER CONTACT MAILING INFORMATON Requester s Name Title Email Address Contact Phone - SECTION A MAIL TO Client/Business Name Client Number Facility Name Certificate Number Attn Mailing Address City State Zip Code CONSUMER INFORMATION STICKER ORDER FEE CALCULATION Total No. Fees 8 stickers/page Pages Fuel Feedback Stickers Gas pumps Diesel etc. 8. P. O. Box 12847 Austin Texas 78711 Voice 800 835-5832 512 463-7476 Hearing impaired 800 735-2988 www. 00/page Scale Complaint Stickers Scales Truck Scales etc* Fee Subtotal TOTAL FEES DUE PAYMENT Method of Payment payable to Texas Department of Agriculture Check Cashier s Check Amount remitted TDA USE ONLY Money Order Mail to Texas Department of Agriculture Receipt No* Date Receipt Issued CHECKLIST Please use this checklist to ensure you are submitting all necessary items. Missing items may delay processing of your order. Completed Consumer Information Sticker Request Form Remittance for Total Fees Due see instructions for assistance with calculating the correct amount. 00/page Scale Complaint Stickers Scales Truck Scales etc* Fee Subtotal TOTAL FEES DUE PAYMENT Method of Payment payable to Texas Department of Agriculture Check Cashier s Check Amount remitted TDA USE ONLY Money Order Mail to Texas Department of Agriculture Receipt No* Date Receipt Issued CHECKLIST Please use this checklist to ensure you are submitting all necessary items. Missing items may delay processing of your order. Completed Consumer Information Sticker Request Form Remittance for Total Fees Due see instructions for assistance with calculating the correct amount. .

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