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  1. Contact Information
  2. Burn Location
  3. Electronic Signature*
    I have checked the Burn Area Map and am in an Open Area or Limited Burn Area. I understand that I am not eligible for a refund if I am in a No Burn area. Once your application is submitted, you will receive verification within 3-5 business days. Verified applications will receive a link for payment via email.
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  5. This field is not part of the form submission.