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Date: ___________


Customer Service
Virginia.gov
Bank of America Center
1111 East Main Street, Suite 901
Richmond, VA 23219

RE: Webmaster Link Utility

Dear Virginia.gov Customer Service:

Please provide the person or persons listed below with access to the Virginia.gov link utility. This person is authorized to add, delete, or modify links or site information on behalf of our organization on the Virginia.gov Portal. I understand that access to the link utility does not guarantee link placement, as all links must be evaluated for appropriateness before inclusion.

Authorized Webmaster or Web Content Editor:

Name:__________________________________

E-mail address:___________________________

Mailing address: __________________________

_______________________________________

_______________________________________

Phone: _________________________________

Additional responsible party:

Name:__________________________________

E-mail address:___________________________

Mailing address: __________________________

_______________________________________

_______________________________________

Phone: _________________________________

This authorization remains in effect until ___________(date) or until superceded by later correspondence.


___________________________
Signature

___________________________
Name

___________________________
Title