Client’s Signature Sample Clauses

Client’s Signature. In his/her personal capacity and legal guardian of the following minor child/children (if applicable) # FULL NAMES IDENTITY / PASSPORT NUMBER 1. 2. 3. ANNEXURE ‘D’ – AGENT APPLICATION FORM Main Contact Full Names & Surname: Identity / Passport Number: Telephone Number (Work/House): Cell phone Number: Facsimile Number: Email Address: Physical Address: Capacity: Xxxx with (X): Personal: Representative of: Company: Trust: IF ACTING ON BEHALF OF A COMPANY / TRUST: Full name of Company / Trust: Registration Number of Company / Master’s Reference of Trust: VAT Number (if applicable):
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Client’s Signature. Date: You will get from your workouts what you put in. You are the only one who can make sure you work out consistently, eat properly, rest enough, and live a healthy lifestyle. CLIENT INFORMATION First Name Last Name Date Age Date of Birth / / Gender Type of Membership: Student Faculty/Staff Other: Address Preferred Phone Number Email Physician’s Name Physician’s Number PERSONAL MEDICAL HISTORY Have you had any past operations, hospitalizations, disabilities, diseases or are you currently under a physician’s care: Height Weight Desired Weight Have you ever been diagnosed with the following? Please check all that apply and write the date and a description below.
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Client’s Signature. Date………………..
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Client’s Signature. The signature of the Client will obligate him or her to the conditions of this agreement for the specified term(s). Therefore, it is recommended that an adequate amount of time is set aside so that both Signature Parties may review this paperwork to satisfaction. When ready, the Client or the Authorized Signature Representative of the Client must sign this document then produce the current date. (22) Printed Name Of Client. After signing this agreement, the Client must furnish the printed version of his or her name to the remaining line in his or her signature area. (23) Service Provider’s Signature. The next signature area will call for the Service Provider named in the First Section to accept the conditions and terms of this agreement by signing his or her name and documenting when he or she performed this action by entering the date of signing. (24)
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Client’s Signature. Date : Corporate Brokers Limited
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Client’s Signature. Signed at __________________ on this _____day of ___________________20____ by the Contractor who warrants his/her authority to enter into this agreement. Contractor's Signature: _______________________________ Lawn Care Schedule ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________
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Client’s Signature. The scope and amount to be billed may be disputed by the Client, upon a written complaint delivered within 30 days since the xxxx is issued. Delivering the written complaint does not affect the maturity of the xxxx. All payments hereunder may be executed via a payment card or via wire transfer. One of the options of enforcement of debt that the Agent may make use of is an agreed set off as per § 1982 of the Civil Code. If the third country fiscal authority sends the Client’s refund to the bank account of this Agent and the Client does not pick up the refund within 45 days since an email notification is delivered to him/her, the Agent is entitled to charge a fee for administration of the refund in the amount of 4 % from the refund for each calendar month of said administration. All fees payable prior to the receipt of any refund from the third country include the VAT in a valid rate. All fees payable after the receipt of any refund are further subject to VAT rate applicable at the moment when the given fee is payable.
Sample 1
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Related to Client’s Signature

  • Your Signature (Sign exactly as your name appears on the face of this Note) Signature Guarantee*: _________________________ * Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee).

  • Contract Signature If the Original Form of Contract is not returned to the Contract Officer (as identified in Section 4) duly completed, signed and dated on behalf of the Supplier within 30 days of the date of signature on behalf of DFID, DFID will be entitled, at its sole discretion, to declare this Contract void. No payment will be made to the Supplier under this Contract until a copy of the Form of Contract, signed on behalf of the Supplier, is returned to the Contract Officer.

  • Witness Signature 4. PARENT/GUARDIAN CONSENT: (for applicants under 18 years) – I hereby certify and decree that all the information contained in the declarations above is true and accurate Print Name:................................................................... Signature …………………………………………....……... Relationship to applicant ……………………………… Phone Contact ……………………................................... Address …………………………………………………………………….....................................................................

  • SUBSCRIBER SIGNATURE The undersigned, desiring to subscribe for the number of Shares of MAYFLOWER INVESTMENT GROUP, INC. (the “Company”) as is set forth below, acknowledges that he/she has received and understands the terms and conditions of the Subscription Agreement attached hereto and that he/she does hereby agree to all the terms and conditions contained therein.

  • Employee Signature Employee ID: Telephone No: Employee Address: Work Location:

  • Signature Signature For the participant For the institution Xxxxxx Xxxxx prof. Ing. arch. Xxxxxx Xxxxxxx, PhD. Vice-xxxxxx for International Relations and Public Relations, based on the procuration Annex I

  • Facsimile and Email Signatures The use of facsimile signatures and signatures delivered by email in portable document format (.pdf) affixed in the name and on behalf of the transfer agent and registrar of the Partnership on certificates representing Common Units is expressly permitted by this Agreement.

  • Counterpart Signature This Agreement may be signed in counterpart, and the signed copies will, when attached, constitute an original Agreement.

  • Facsimile or .pdf Signature This Agreement may be executed by facsimile or .pdf signature and a facsimile or .pdf signature shall constitute an original for all purposes.

  • Counterpart Signatures This Agreement may be executed in several counterparts, including via facsimile, each of which shall be deemed an original for all purposes, including judicial proof of the terms hereof, and all of which together shall constitute and be deemed one and the same agreement.

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