"Application for Renewal of Weighmaster License" - Delaware

The Delaware Department of Agriculture has released this version of the "Application for Renewal of Weighmaster License" on May 17, 2001.

This form may be used by all Delaware residents: download the printable PDF by clicking the link below and use it according to the applicable legal guidelines.

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Download "Application for Renewal of Weighmaster License" - Delaware

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State of Delaware
Department of Agriculture, Weights and Measures
2320 South Dupont Highway
Dover, DE 19901 (302) 698-4602 or (800) 282-8685 (DE only)
Application for Renewal of Weighmaster License
________________________________
Applicant Name and Telephone Number
Firm Name and Telephone Number
________________________________
Address, City/St/Zip
Firm Correct Mailing
Address, City/St/Zip
expiring
.
I hereby apply for renewal of my Weighmaster License No.
I hereby certify that I have not been convicted of any violation of Title 6, Chapter 51, and amendments
thereto, of the Delaware Code.
_________________
_
Signature of Applicant
License Fee - $25.00 for three calendar years
NOTE: Application must be accompanied with payment
NEW!!
CREDIT CARD PAYMENT
Visa
MasterCard
Discover
Check/Money Order
Billing Name:
Please Make Check or Money
Billing Address:
Order Payable to:
Telephone Number:
City/St/Zip:
Delaware Department of
Credit Card Number:
Agriculture
3-Digit Code:
Weights and Measures
Authorization:
Expiration Date:
Doc No. 65-01-11/01/05/17
State of Delaware
Department of Agriculture, Weights and Measures
2320 South Dupont Highway
Dover, DE 19901 (302) 698-4602 or (800) 282-8685 (DE only)
Application for Renewal of Weighmaster License
________________________________
Applicant Name and Telephone Number
Firm Name and Telephone Number
________________________________
Address, City/St/Zip
Firm Correct Mailing
Address, City/St/Zip
expiring
.
I hereby apply for renewal of my Weighmaster License No.
I hereby certify that I have not been convicted of any violation of Title 6, Chapter 51, and amendments
thereto, of the Delaware Code.
_________________
_
Signature of Applicant
License Fee - $25.00 for three calendar years
NOTE: Application must be accompanied with payment
NEW!!
CREDIT CARD PAYMENT
Visa
MasterCard
Discover
Check/Money Order
Billing Name:
Please Make Check or Money
Billing Address:
Order Payable to:
Telephone Number:
City/St/Zip:
Delaware Department of
Credit Card Number:
Agriculture
3-Digit Code:
Weights and Measures
Authorization:
Expiration Date:
Doc No. 65-01-11/01/05/17
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