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/b/a Trade Name(s): * Mailing/Street Address: 2nd Address Line (if needed): * City / State / Zip Code: * Telephone Number: Fax Number: * TYPE OF ORGANIZATION Sole Proprietorship * Veritiv Sales Rep First Name: * Veritiv Sales Rep Last Name: * Date Business Started: Partnership Government Federal ID Number: Corporation Parent Company: mm/dd/yyyy Parent HQ Mailing Address: LLC Other Parent HQ 2nd Address Line (if needed): Parent HQ City / State / Zip Code: DUNS # (00-000-0000): St.

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