Fillable REGISTRATION FOR ELECTRONIC MAIL NOTIFICATION OF CHANGES TO (Columbia Gorge Community College)

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REGISTRATION FOR ELECTRONIC MAIL NOTIFICATION OF CHANGES TO (Columbia Gorge Community College)

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DM #8761610
REGISTRATION FOR ELECTRONIC MAIL NOTIFICATION OF
CHANGES TO OREGON’S DIRECTORY OF COMPLIANT TOBACCO
PRODUCTS MANUFACTURERS AND BRANDS
Please Type or Print Legibly:
Company Name:
Owner or President’s Name: Title:
Physical Address:
City: State: Zip Code:
Mailing Address:
City: State: Zip Code:
Telephone Number: Fax:
E-mail Address:
Website Address:
If your email address should change, you must file a new form to remain on the
email address list to continue email notification.
Mail completed form to:
State of Oregon
Department of Justice, Office of the Attorney General
Civil Enforcement Division; Attn: Tobacco Enforcement
1162 Court Street NE
Salem, OR 97301-4096
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REGISTRATION FOR ELECTRONIC MAIL NOTIFICATION OF CHANGES TO (Columbia Gorge Community College)

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Completed 15 August 2020

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