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I, the undersigned, hereby certify that the information given in the Label Redemption Form is complete, accurate and fully discloses the value of the labels we have collected. I understand that I am responsible for holding the physical labels for a period of 6 months (180 days) in the event that an on-site audit is required. At the end of this period, the labels will be destroyed at the school's cost.
For completion by Guarantor
| Print Name_____________________________________________ Date__________________ |
| Occupation___________________________________________________________________ |
| Name of firm/organization_______________________________________________________ |
| Business Tel. No_______________________________________________________________ |
| Signature_____________________________________________________________________ |
| Signed at (city/province/territory) ________________________________________________ |
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