By submitting this application, I acknowledge and agree to the following:
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The information I have provided in this application will be used by Healthy Boost to evaluate my suitability for a Juice Bar Kiosk license.
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Submission of this application does not guarantee approval or the issuance of a license.
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I understand that a $350 refundable application fee is required to process this application.
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If my application is not approved, the $350 fee will be refunded in full.
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If my application is approved, the $350 fee will be applied toward the $125,000 licensing fee.
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I certify that the information provided is accurate and complete to the best of my knowledge.