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 Page 1 of 1 -