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. ' <br />3/30/2018 <br />Electronic Signature <br />Agreement: * <br />Result Information <br />1501 Grant Application -Formstack <br />By providing this information and checking the box below, you are <br />providing an electronic signature authorizing your consent. RCW <br />~A .04.110(24) establishes "signature includes any memorandum, mark, <br />or sign made with intent to authenticate any instrument or writing, <br />or the subscription of any person thereto." <br />0 !Agree <br />Submit Application/Invoice <br />Powered by Formstack Create your own form > <br />https:l/waspc.formstack.com/forms/1501 _grant_application 5/5