DATE SIGNED. This participation agreement is effective on the date signed by the Director, DHA, or designee. DHA Certified Marriage and Family Therapist By: Typed Name and Title By: Typed Name and Title Name and Title Name and Title Executed on ,
DATE SIGNED. Tenant (2) Signatory (print name) .............................................................................................................................................................. Signature ..............................................................................................................................
DATE SIGNED. This participation agreement will be effective on the date signed by the Director, TMA, or a designee.
DATE SIGNED. This participation agreement is effective on the date signed by the Executive Director, TMA, or designee. TMA Certified Marriage and Family Therapist By: Typed Name and Title. By: Typed Name and Title
DATE SIGNED. Signature of director Xxxxxxx Xxxxxxxx, President ................................................................................. Name of director ................................................................. Signature of director/company secretary Xxxxxxx Xxxxx, CEO & Company Secretary ................................................................................ .Name of director/company secretary 27 June 2019 ................................................................................. Date signed Schedule 1 – Key Terms Item Clause Reference Details 1 Clause 3(a) (Commencement Date) 1 July 2019 2 Clause 3(a) (End Date) 30 June 2024
DATE SIGNED. January12, 2012 ATTEST: THE DIME BANK /s/ L. Jxxx Xxxxxx /s/ Wxxxxxx X. Xxxxxxx L. Jxxx Xxxxxx, Vice President Wxxxxxx X. Xxxxxxx Chairman of the Board ATTEST: DIMECO, INC. (Guarantor) /s/ Jxxx X. Xxxxx /s/ Wxxxxxx X. Xxxxxxx Jxxx X. Xxxxx, Secretary Wxxxxxx X. Xxxxxxx Chairman of the Board ATTEST: FOR THE BOARD OF DIRECTORS /s/ L. Jxxx Xxxxxx /s/ Jxxx X. Xxxxxxxxxx
DATE SIGNED. Witness* Signatory (print name) .............................................................................................................................................................. Signature ..............................................................................................................................
DATE SIGNED. If the form is being signed by only one author on behalf of the others, the following additional statement must be accepted and signed by the author signing for the co-authors: ‘I represent and warrant that I am authorized to execute this transfer of copyright on behalf of all the authors in the article named above.’
DATE SIGNED. Signature of Officer Date signed: ----------------- ------------------------------------ Signature of Officer
