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CIGAR SHOP EMPLOYEE WAIVER

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Information on the effects of exposure to second hand smoke can be found on the websites of the American Cancer Society The U.S. Surgeon General The American Lung Society others I acknowledge that I Print name understand the risks of exposure to second-hand smoke Signature Date BARCODE LABEL FORM 180 REV 11/2015 Page 1 of 1. LIQUOR LICENSE LICENSEE NAME TRADE NAME PREMISES ADDRESS CITY CONTACT PERSON PHONE NUMBER EMAIL ADDRESS OF CONTACT PERSON Notice to Employee By accepting employment with th ...

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