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Signature: <br />Name: <br />Title: <br />□ We decline to enter into an arrangement with your business. <br />□ We confirm and enter into an arrangement with your company based on <br />the information you previously provided. <br />Sincerely, <br />Dear Owner/Operator: <br />We have received the documentation you provided in accordance with 40 <br />CFR 262.256.