Use this form to indicate your organization's signature on CTeL's sign-on letter to the DEA.

We are unable to accept edits, and we ask that you sign-on to the document as-is.*ONLY FILL THIS FORM OUT IF YOUR ORGANIZATION WOULD LIKE TO BE LISTED AS A SIGNATORY. You will receive a copy of the letter before it is sent to ensure that your organization is represented properly in the signature.

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* 1. Name

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* 2. Email

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* 3. Organization

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* 4. Phone Number

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* 5. My organization would like to be listed as a signatory on the letter

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