Free Microsoft Word - BuyerRegistration - Wyoming


File Size: 22.3 kB
Pages: 1
Date: March 10, 2009
File Format: PDF
State: Wyoming
Category: Secretary of State
Author: cdillm
Word Count: 139 Words, 1,408 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://soswy.state.wy.us/Forms/EFS/BuyerRegistration.pdf

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Wyoming Secretary of State
State Capitol Building, Room 110 200 West 24th Street Cheyenne, WY 82002-0020 Ph. 307.777.7311 Fax 307.777.5339 Email: [email protected]

For Office Use Only

Wyoming Secretary of State Central Filing System
Business Name: _________________________________________________________________________________ Contact Person: ______________________________________ Phone: _____________________________________ Address: _______________________________________________________________________________________ ______________________________________________________________________________________________ Social Security or EIN Number: ____________________________________________________________________
Farm Product Registration Renewal Fees
Livestock P.C. 3 in. Diskette Crop P.C. 3 in. Diskette Livestock & Crop P.C. 3 in. Diskette Livestock CD Report Crop CD Report Livestock & Crop CD Report Livestock CD Raw Data Crop CD Raw Data Livestock & Crop Raw Data Complete this portion only if you want a specific product or county lists: Product Name ____________ ____________ ____________ Product Code ___________ ___________ ___________ County Code __________ __________ __________ $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00

Date: _______________________________________ Signature: __________________________________________

BuyerRegistration 3/10/2009