By signing this document, I am indicating that I have been provided with a current copy of the following Key Statements and Policies, that I agree fully with each of them, that I firmly support the spirit, laws and principals underlying them, that over the past year, I have complied with all of the provisions included therein and that it is my intent to continue to comply in the coming year. Any exceptions, or possible exceptions, to the statement I am making by signing this document are noted below under the respective Statement or Policy.
First
Last