*Declaration: I hereby declare under the penalty that this consultation and all information submitted as part of this consultation are true and accurate to the best of my knowledge. I am the owner of the subject Business or I have been authorized in writing by the owners(s) of the subject business to represent this consultation and understand that should any information or representation be submitted in connection with this consultation be incorrect or untrue. WF SERVICES INC may rescind any approval or take other appropriate action. I further understand that WF SERVICES INC Comments arising from the consultation do not apply to any modification to the proposal or its components that occur after the meeting.