Purchase Order for Florida Laws and Rules Examination Study Guide DEPARTMENT

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DEPARTMENT OF FINANCIAL SERVICES
Division of Funeral, Cemetery & Consumer Services
200 East Gaines Street
Tallahassee, FL 32399- 0361
Purchase Order for
Florida Laws and Rules Examination Study Guide
This form is used to purchase a Study Guide for the Florida Law & Rules Exam. The Study Guide contains the text of the
various statutes and rules which are the subject of the Florida Law & Rules Exam.
REQUIRED FEE: $10.00 (must accompany this form)
Make checks payable to the Dept of Financial Services.
PRINT OR TYPE CLEARLY.
Section 1. NAME & ADDRESS
Last Name:
First Name:
Street address (include apartment # if applicable):
City:
State:
Email Address:
Zip:
Phone Number: (
)
Mail completed application and required fee to:
Division of Funeral, Cemetery & Consumer Services
Revenue Processing
P O Box 6100
Tallahassee, FL 32314-6100
FOR OFFICE USE ONLY:
BT
TYCL FT
V
4000 W
$10.00
Form DFS-N1-1711; Purchase Order for Florida Laws & Rules Examination Study Guide
(Rev. 7/2012); 69K-5.010
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