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Form 943-A Bend Oregon: What You Should Know

For this form, provide an email that we can contact you at. Do not use your main address. The primary contact, custodial parent or guardian (if applicable). For this form, provide a non-personal phone number that we can contact you using (if mobile phone is not an option). This number must be different from your Fax. For this form, provide the name of the business, mailing address, and address for the primary contact, custodial parent or guardian (if applicable). For this form, provide the name of the business, mailing address, and address for the primary contact, custodial parent or guardian (if applicable). For this form, provide the name of the business, mailing address, and address for the primary contact, custodial parent or guardian (if applicable). For this form, provide contact for OAR mailing.  For this form, provide fax/mobile number, phone number and email, if available. For this form, provide email that we can contact you at. Do not use your main address. The primary contact, custodial parent or guardian (if applicable). If a person is not the primary contact or the custodial parent or custodial guardian (if applicable), we are also requesting a completed and signed copy of the following: This form must be submitted by the custodian, parent or guardian. An individual 18 to 20 years old must present an employer identification card showing his or her employer's name and employer's address. For more information, please refer to Purdue University's Website This form must be submitted BY THE MAJORITY of the individual's parents or guardians (if they reside in Oregon) or any other person who has legal physical custody or control of the individual. The individual's parent or guardian must accompany the request. If the individual's parent or guardian does not reside in Oregon, we will send the form by regular mail to your last known address. For more information about this request, please refer to the OAR For this form, provide the name, address and city of residence of the major person and either parent/guardian. For more information, please refer to Purdue University's Website If this form is being submitted by the custodial parent or custodial guardian of an Oregon resident, the custodial parental guardian must have the consent of either parent/guardian and the minor's parents or guardians.

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