MAIL ADDRESS. Duplicate Statement #1 Complete only if you wish someone other than the account owner(s) to receive duplicate statements. Duplicate Statement #2 Complete only if you wish someone other than the account owner(s) to receive duplicate statements. COMPANY NAME COMPANY NAME NAME NAME STREET APT / SUITE STREET APT / SUITE CITY STATE ZIP CODE CITY STATE ZIP CODE 4 Investment Amount By check: Make check payable to the Xxxxx Small Cap Growth Fund. Note: All checks must be in U.S. Dollars drawn on a domestic bank. The Fund will not accept payment in cash or money orders. The Fund does not accept post dated checks or any conditional order or payment. To prevent check fraud, the Fund will not accept third party checks, Treasury checks, credit card checks, traveler’s checks or starter checks for the purchase of shares. By wire: Call 000-000-0000. Note: A completed application is required in advance of a wire. By transfer: Due to rollover or beneficiary payout. Note: Completion of XXX Transfer Form or Beneficiary Payout Form is required. Investment Amount $2,000 Minimum Xxxxx Small Cap Growth Fund 7005 $ Page 2 of 5 5 Automatic Investment Plan (AIP) Your signed Application must be received at least 15 calendar days prior to initial transaction. If you choose this option, funds will be automatically transferred from your bank account. Please attach a voided check or savings deposit slip to Section 7 of this application. We are unable to debit mutual fund or pass-through (“for further credit”) accounts. Draw money for my AIP (check one): Monthly Quarterly $100 minimum monthly, $300 quarterly If no option is selected, the frequency will default to monthly. Xxxxx Small Cap Growth Fund AMOUNT PER DRAW AIP START MONTH AIP START DAY Please keep in mind that: • There is a fee if the automatic purchase cannot be made (assessed by redeeming shares from your account). • Participation in the plan will be terminated upon redemption of all shares. • An AIP will cease the year in which a shareholder reaches the age of 70 1/2 (excluding SEP, SIMPLE and Xxxx XXX accounts). • All contributions invested using Automatic Investment Plan will be current year contributions.
MAIL ADDRESS. Whenever provision is made in this Agreement for the giving, service, or delivery of any notice, statement or other instrument, the same shall be deemed to have been duly given, served or delivered either upon personal delivery or by mailing the same by United States registered or certified mail, return receipt requested, to the Party entitled at the address set forth below.
MAIL ADDRESS. ❑ Duplicate Statement #1 Complete only if you wish someone other than the account owner(s) to receive duplicate statements. ❑ Duplicate Statement #2 Complete only if you wish someone other than the account owner(s) to receive duplicate statements. COMPANY NAME COMPANY NAME NAME NAME STREET APT / SUITE STREET APT / SUITE CITY STATE ZIP CODE CITY STATE ZIP CODE 4 Investment Amount ❑ By check: Make check payable to the Xxxxx Small Cap Growth Fund. Note: All checks must be in U.S. Dollars drawn on a domestic bank. The Fund will not accept payment in cash or money orders. The Fund does not accept post dated checks or any conditional order or payment. To prevent check fraud, the Fund will not accept third party checks, Treasury checks, credit card checks, traveler’s checks or starter checks for the purchase of shares. ❑ By wire: Call 000-000-0000. Note: A completed application is required in advance of a wire. ❑ By transfer: Due to rollover or beneficiary payout. Note: Completion of XXX Transfer Form or Beneficiary Payout Form is required. Investment Amount $2,000 Minimum ❑ Xxxxx Small Cap Growth Fund Inv. Class 7006 $ 5 Automatic Investment Plan (AIP) Your signed Application must be received at least 15 calendar days prior to initial transaction. If you choose this option, funds will be automatically transferred from your bank account. Please attach a voided check or savings deposit slip to Section 6 of this application. We are unable to debit mutual fund or pass-through (“for further credit”) accounts. Draw money for my AIP (check one): ❑ Monthly ❑ Quarterly $100 minimum monthly, $300 quarterly ❑ Xxxxx Small Cap Growth Fund Inv. Class Please keep in mind that: If no option is selected, the frequency will default to monthly. AMOUNT PER DRAW AIP START MONTH AIP START DAY • There is a fee if the automatic purchase cannot be made (assessed by redeeming shares from your account). • Participation in the plan will be terminated upon redemption of all shares. • An AIP will cease the year in which a shareholder reaches the age of 70 1/2 (excluding SEP, SIMPLE and Xxxx XXX accounts). Xxxx Xxx Xxxx Xxx 000 Xxxx Xx. Xxxxxxx, XXX 00000 53289 Pay to the order of $ DOLLARS Memo Signed Please attach a voided check or savings deposit slip to this application if you chose the Automatic Investment Plan. We are unable to debit or credit mutual fund or pass-through (“for further credit”) accounts. Please contact your financial institution to determine if it participates in the Aut...
MAIL ADDRESS. A current, valid email address is critical to our successful delivery of the Service to you. You agree to maintain an active email account at all times and record such email address within the Administration, Employee, Profile in the Online Solutions Service. You further agree to promptly notify us of a change of email address by calling 1-877-227- 7548 or by changing the address within the Online Solutions Service. If, for any reason the email address you provide us changes or becomes inoperable for more than a short period of time, you agree to contact us immediately so that we can arrange to provide you with Customer Notices through other means. If we contact you at the email address of record within the Service and learn that the email is undeliverable to that address, we may, at our discretion attempt to contact you through another means to obtain a valid email address.
MAIL ADDRESS. You agree to notify us immediately if you change your e-mail address, as this is the e-mail address where we will send you notification of receipt of remote deposit items.
MAIL ADDRESS. This Application is subject to the terms and conditions of a Continuing Agreement for Commercial Letters of Credit, a Master Reimbursement Agreement and/or other credit documentation governing the issuance and reimbursement of letters of credit, as applicable, which has been furnished to the undersigned. The applicant’s signature below affirms it has read and agreed to the terms of the applicable agreement and by this application and by any agreement to which the credit is issued. This application is signed by a duly authorized representative of the applicant on the date specified herein. Unless otherwise specified therein, the Letter of Credit will be subjected to the Uniform Customs and Practice for Documentary Credits currently in effect. Unless otherwise stipulated, we agree to keep insurance coverage in force at our expense until this transaction is completed. Unless otherwise instructed documents shall be forwarded to you in one airmail. The applicant, by its signature below, hereby certifies that, both before and after giving effect to the issuance of the letter of credit, all conditions set forth in Section 5.02 of the Amended and Restated Financing Agreement, dated as of December [*], 2016, by and among the applicant and certain of its affiliates, Capital One, N.A., HPS Investment Partners LLC and the other financial institutions from time to time party thereto have been satisfied. This application may be amended by request of the applicant prior to letter of credit issuance by submitting either (1) an additional signed application form or (2) a draft letter of credit signed by the beneficiary and approved in writing by the applicant via email to Xxxxx.Xxxxxxxx@xxxxxxxxxx.xxx or letter submitted to Capital One, N.A at the address first set forth above. Amendments are subject to approval by Capital One, N.A. USA PATRIOT Act Notice: U.S. federal laws require financial institutions to obtain, verify, and record information identifying each person who opens an account. Issuing the credit is considered opening an account that requires compliance with these federal laws. (NAME OF APPLICANT COMPANY OR CORPORATION) OPENER: CORRESPONDENT BANK (CO-APPLICANT) (AUTHORIZED SIGNATURE) (AUTHORIZED SIGNATURE) To be completed by Loan Administration Department Officer’s Authorization Name: Officer No.: Initials: LAD/POST CLOSING APPROVAL: ☐ ACBS ☐ ALS Disbursement Reviewed By: Number: Date: Extension: ANNEX B Departing Lenders, Continuing Lenders and Additional Len...
MAIL ADDRESS. CREDIT CARD INFORMATION The information on this page must be completed in order for the Corporation to accept this Subscription Agreement.
MAIL ADDRESS h.xxxxxxxxxxxx@xxxx.xx
MAIL ADDRESS. The Franchisee will, at all times during the term of this Agreement, maintain an e-mail address on the Internet. The Franchisee's e-mail address will be provided to Elephant & Castle and will be used as a method for the Franchisee and Elephant & Castle to communicate with each other and to transmit documents and other information. The Franchisee will not use the words "Elephant & Castle-Registered Trademark-" as any part of its e-mail address or its domain name if a Home Page is maintained by the Franchisee on the Internet. The Franchisee will review its e-mail at least once a day and will respond to all e-mails within twenty-four (24) hours, except for weekend e-mails, which will be answered every Monday. INSURANCE
MAIL ADDRESS. In consideration as a participant in the Maywood Zumba Class held at the Recreation Center on: Tuesday and Thursday evenings from 7:15 pm – 8:15 pm the undersigned agrees to indemnify, defend and hold the Borough of Maywood and its officers, agents, members, servants, employees and assigns harmless from any and all liability, demands, claims, suits, losses, injuries, damages, judgments, expenses, costs and attorney’s fees arising out of the use of the property referred to above to the extent permitted by law. I understand that this Hold Harmless Agreement also requires that the Borough of Maywood is indemnified from any and all liability, claims, demands, damages, judgments, expenses and costs of any kind resulting from the acts or omissions from any guest, participant, visitor or other person attending the event herein referred to, unless waived in writing by the Borough of Maywood. Signed this day of , 2022/2023 Participant Signature 2022: No class on September 8, September 29, October 27, November 17