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By completing the signature box you agree that all information provided is true and correct and that you agree to conform to and abide by the by-laws and regulations of the City of Gentry, and pay for services provided at the location on this application as bills are due. Further, you agree that any joint account holder listed may make changes and have access to account information. Refund checks may be made payable to EITHER account holder.
Submission without payment or payment without submission is not valid.
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