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Regul8 Form

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Your legal name

Please Confirm full name and signature.

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I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

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June 19, 2024 2:36 pm AEDT

Regul8 Form Uploaded by Patricia Kelly - trish@myskinandbody.com.au IP 103.179.203.32