Agreement Authorization. We, the undersigned, have read this Agreement, have received a duplicate copy thereof, and agree to abide by the terms and conditions therein. Dated: Dated: (Signature of Resident’s Representative) Dated: (Signature of Resident’s Legal Representative) Dated: (Signature of Operator or the Operator’s Representative) (Date) Guarantor’s Signature Guarantor’s Name (Print)
Appears in 2 contracts
Sources: Residency Agreement, Residency Agreement
Agreement Authorization. We, the undersigned, have read this Agreement, have received a duplicate copy thereof, and agree to abide by the terms and conditions therein. Dated: Dated: (Signature of Resident’s Representative) Dated: (Signature of Resident’s Legal Representative) Dated: (Signature of Operator or the Operator’s Representative) (Date) Guarantor’s Signature Guarantor’s Name (Print)Signature
Appears in 1 contract
Sources: Residency Agreement