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P. O. Drawer 339,
401 E Vernon Avenue
Kinston, North Carolina 28502
Office Phone: 252-939-3164
Fax Phone : 252-939-3157
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
All of the above information is correct, accurate, true to the best of my knowledge, and electronically signed by me at this date and time.
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