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Request for VA Sponsorship
Request for VA Sponsorship
Is the company to be added currently registered in the VALGY PPM Site?
Yes
No
Approval to Procced with VA Sponsorship Applicaiton and Payment Collection
Yes
No
Payment Collection Preference
Mailed Check
Credit Card
Are you an authorized signer for Broker?
Yes
No
An authorized signer is required to complete this form. Fill in the information below and we will send a request to the authorized signer for approval.