Signed Date. By:_________________________________ CIC Owner:__________________________ Signed Date:________________________ Page 1 of 1 <PAGE> MCI WORLDCOM NETWORK SERVICES, INC. ATTACHMENT FOR CALLING CARD SERVICE This ATTACHMENT FOR CALLING CARD SERVICE is made by and between Valor Telecommunications Enterprises, L.L.C. ("CUSTOMER") and MCI WORLDCOM Network Services, Inc. (successor in interest to WorldCom Network Services, Inc.)("MCI WORLDCOM") and is a part of their Telecommunications Services Agreement for Switched Services. Capitalized terms not defined herein shall have the meaning ascribed to them in the TSA, the PET, the applicable Attachment(s) or the Tariff (as defined below), whichever is applicable. NOTE: ANY MODIFICATIONS, ADDITIONS OR DELETIONS FROM THIS ATTACHMENT WILL NOT BE EFFECTIVE UNLESS SPECIFICALLY SET FORTH IN THE PET. During the Service Term of the Agreement, MCI WorldCom will provide "CALLING CARD SERVICE" which is accessed only by dialing the unique toll free access number assigned by MCI WorldCom to Customer. With respect to International Origination CALLING CARD Service and applicable Star (*) Features, this Attachment incorporates by reference the terms of MCI Tariff FCC No. 1 (the "TARIFF"), which may be modified from time to time by MCI WorldCom in accordance with law and thereby affect the Services furnished Customer hereunder, except that the terms and conditions contained in the TSA, the PET or this Attachment shall supplement or, to the extent inconsistent, supersede the Tariff terms and conditions. For purposes of this Attachment, references to "MCI FEATURE CARD Service (Option T)" or "Connections Card Service" will be deemed to refer to "CALLING CARD Service". I.
Signed Date. Name: Please Print Address: Telephone number(s): Email: Village Hall Mickleham . Bank details for online payment: CAF Bank - sort code 40-52-40 A/c Number: Village Hall Mickleham No 00005176 Please indicate here the equipment you plan to use: ❒ Chairs number ❒ Tables (large) number ❒ Bridge tables number ❒ Display boards ❒ Piano ❒ CD player ❒ Microphones ❒ Projector ❒ Pull-down Screen Available for an additional charge: ❒ ‘Posh’ china and cutlery place settings and Conditions of Hire attached. Tpurpose and for the period set out above in accordance with the Rules he Committee agrees to permit the hirer to use the premises for the On behalf of Mickleham Village Hall Trustees
Signed Date. Name: Address: Phone: Email: I would like to make a donation of $ , to help cover the food and medical costs of the ferret(s) I am surrendering to the Shelter.
Examples of Signed Date in a sentence
Signed: Date: Declaration:I confirm that the information I have provided is correct and that any false or misleading information may lead to the termination of my appointment.
Signed: Date: .....................................................................................................................................................................
Name: In the capacity of: Signed: Date: Duly authorized to sign the Bid for and on behalf of Complete Address Tel: Fax: E-mail: We wish to apply.
Signed: Date: (ATTACH COPY OF LICENSE) FORM C3: GEORGIA PROFESSIONAL LICENSE CERTIFICATION NOTE: Please complete this form for the work your firm will perform on this project.
Signatory’s Full Name: Company Name: Position in Company: Address: Phone: Fax: Signed Date: I hereby acknowledge that I have read the first four pages and agree to be bound by all terms and conditions in those first four pages.
More Definitions of Signed Date
Signed Date. Unit Number . Printed name: . Driver’s License State/Number: . Rental Period Check in date: . Check out date: . Vehicle Information: Number of vehicles with rental party . Vehicle 1 make: . Model/color: . Tag # . Vehicle 2 make: . Model/color: . Tag # . Other make: . Model/color: . Tag # . (Please fill this out the best you can) If you are unsure of your tag number just put the state it is from.
Signed Date means “the date on which the Agreement is signed (upon accepting this offer and agreed upon by both parties)”
Signed Date. Signed: Date: Signed: Date: Signed: Date:
Signed Date. NAME: ADDRESS: VILLAGE USE: DATE REC'D FEE PAID CASH/CHECK NO REC’D BY This release, hold harmless and indemnification, applies to the Village, as well as any of its employees, agents or contractors, providing such Services. Return this form to: VILLAGE OF CHENEQUA, 00000 X XXXXXX XXXX X, XXXXXXXX, XX 00000 OUTLINE OF VILLAGE SNOW PLOWING POLICY Plowing of public and private roads is done as needed to ensure access for emergency vehicles and safe passage for other vehicles. The plowing and sanding of private driveways is a unique service that normally begins when the snowstorm subsides. Driveway plowing is systematically done to provide this service in an efficient and economical manner and it takes between 6 and 12 hours to service the entire Village, depending on the conditions. Vehicles and other obstructions must be removed or a drive will be passed by until it is clear. PLOWING SERVICES NOT INCLUDED: Driveway plowing is intended to provide reasonable access to homes and passage for emergency vehicles but it is not intended to be of the quality that may be available from some commercial services. The following services are typically not performed by the Village: Sanding or plowing outbuildings or close to garage doors Clearing sidewalks and walkways The entire width of all driveways Hand shoveling “Clean sweeping” all areas of the driveway Guaranteeing plowing by any particular time of day SUMMARY:
Signed Date. Signed: Date: /s/ Xxxxxx X. Xxxxxx 8/9/96 /s/ Xxxx Xxxxx 8/21/96 -------------------------- ----------- ------------------------ -----------
Signed Date. Print Name: Phone: Address: Cell: (City & Zip) Fax: Email: G.P./Specialty: Dental School: Yr. grad.: CA Dental Lic: Areas of Interest: Sign and Return to: XXXXXXXXXX XXXXX, BROKER/CONSULTANT DDS XPRESS REALTY CO. BRE LICENSE: 01049085 31500 GRAPE ST #240 LAKE ELSINORE, CA 00000 XXXXXX: 000- 000-0000 FAX: 000-000-0000