Referral Form definition

Referral Form means the online form that a Referrer completes to register for the Promotion.
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Referral Form means the overpayment/recovery information input (Form 470-0464) completed by DHS. The form tells the program, the amount, the dates, and the reason for the overpayment. It also lists information on the debtor for identification purposes.
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Referral Form means the referral form by which the Purchaser requests the Services from NHSBT to which these Terms and Conditions are annexed;
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Examples of Referral Form in a sentence

  • InterPayments shall be obligated to honor contractually obligated retainer fees or other payments owed by InterPayments for the remainder of the term as described in the Referral Form.

  • The term of this Agreement shall commence on the date it is executed by both parties and shall remain in effect until date set forth in the Referral Form or terminated as set forth below.

  • Other issues for which an MTA Referral Form would be necessary include seeking UCL’s approval for MTAs which have a transfer fee/price in excess of £1000 or where the Material is actually being sold, such that the ownership/title in the Material is being transferred under the MTA.

  • INTERPAYMENTS: REFERRER : InterPayments LLC Referrer Legal Entity or Individual Name Name: Name: Title: Title: Date: Date: Email: Address: EXHIBIT A As described in the Referral Form.

  • InterPayments shall pay Referrer according to Schedule A or as shown on the Referral Form.


More Definitions of Referral Form

Referral Form means the separate form accompanying this Agreement executed by both Referrer and InterPayments which engages individual as a Referrer for InterPayments.
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Referral Form. “Regulations” means the referral form by which the Purchaser requests the Services from NHSBT to which these Terms and Conditions are annexed; means ISO 15189 laying down the principles and guidelines of good manufacturing practice in respect of medicinal products for human use and investigational medicinal products for human use regulations;
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Referral Form means the form you to refer Leads to BT, which is available on request via 0800 085 7000 or via xxxxxxx.xxxxxx@xx.xxx.
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Referral Form means the Partner Referral Authorisation Form from the Partner to BCMS to which these Conditions are appended.
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Referral Form means the referral form overleaf to be completed by each of the following: (i) the Referrer; (ii) the Referred; and (iii) the Store Manager;
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Related to Referral Form

  • Deferral Election Form means the form established from time to time by the Plan Administrator that the Director completes, signs and returns to the Plan Administrator to designate the amount of the Deferrals.

  • Proposal Form means that certain Part C of the RFP, completed and executed by the Proponent, to which this Appendix 1 is appended.

  • Election Form means the form established from time to time by the Committee that a Participant completes, signs and returns to the Committee to make an election under the Plan.

  • Primary election means any regular primary election held under the election

  • Enrollment Agreement means an agreement between the Company and an employee, in such form as may be established by the Company from time to time, pursuant to which the employee elects to participate in this Plan, or elects changes with respect to such participation as permitted under the Plan.

  • Open Enrollment Period means an enrollment period during which time any Eligible Employee and/or Dependent may apply to become a Subscriber and/or Covered Dependent, and existing Subscribers may apply to change to another provider network or coverage option, if available, or elect to terminate coverage.

  • Adoption Agreement means the written agreement pursuant to which the Employer adopts the Plan. The Adoption Agreement is a part of the Plan as applied to the Employer.

  • Enrollment Period means the period agreed upon by the Policyholder and Us when an Eligible Person may enroll for coverage or an Insured may change benefit elections under the Policy.

  • Enrollment means the number of students who are enrolled in a school operated by the district on October 1. A student shall be counted as one whether the student is enrolled as a full-time or part-time student. Students enrolled in prekindergarten programs shall not be counted.

  • Open enrollment means a period of time as defined in rule

  • Annuity means a stated sum payable periodically at stated times during life or during a specified or ascertainable period of time under an obligation to make the payments in return for adequate and full consideration in money or money's worth.