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Phillipsburg, NJ

vkleiner@phillipsburgnj.org

Document Signers
    • 1 Applicant

    • 2 Robert Stettner

    • 3 Steve Davis

    • 4 Rich Hay

    • 5 Vicki Kleiner

    • 6 DJ Kophazy

    • 7 Rob Bengivenga

    • 8 Todd Tersigni

    • 9 Vicki Kleiner

SeamlessDocs

04/12/2021Click to Sign
04/12/2021Click to Sign
Signature HereClick to Sign
Your Name HereClick to Sign
04/12/2021Click to Sign
Signature HereVicki Kleiner Will Sign Here
04/12/2021
Signature HereDJ Kophazy Will Sign Here
04/12/2021
Signature HereRobert Stettner Will Sign Here
04/12/2021
Signature HereSteve Davis Will Sign Here
04/12/2021
Signature HereRich Hay Will Sign Here
04/12/2021
Signature HereRob Bengivenga Will Sign Here
04/12/2021
Signature HereTodd Tersigni Will Sign Here
Todd Tersigni
04/12/2021
Signature HereVicki Kleiner Will Sign Here
Vicki Kleiner
04/12/2021

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Additional Signatures Required

Certificate(s) of Insurance Click Here to Upload
Site Plan (Layout, security, etc) Click Here to Upload
Vendors, acts, etc. List Click Here to Upload
Fee Waiver Request (Only for non-profits and veterans groups, must upload letter and proof of non-profit status) Click Here to Upload
Additional Documents (if needed) Click Here to Upload