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F the application, you must complete and submit a new application, or come by the store and have the Manager update the application. DATE OF APPLICATION: BACKGROUND INFORMATION (Please print all information) Name: Address: Social Security No.: Home Tel. No.: Work Tel. No.: Are you at least 18 years of age? Yes No If less than 18 years of age, please provide date of birth: Are you a citizen of the United States? Yes No If not, have you received authorization from the United States Immi.

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