Phone Email Sample Clauses

Phone Email. Would you like the named interested party to be provided a login to view your account online? Yes No 6 BENEFICIARIES Select Beneficiary Type: Primary Contingent Name Social Security Number Relationship Date of Birth Share % Address City State Zip Select Beneficiary Type: Primary Contingent Name Social Security Number Relationship Date of Birth Share % Address City State Zip Select Beneficiary Type: Primary Contingent Name Social Security Number Relationship Date of Birth Share % Address City State Zip Select Beneficiary Type: Primary Contingent Name Social Security Number Relationship Date of Birth Share % Address City State Zip Account Owner Signature In the event of my death, the balance in the account shall be paid to the Primary Beneficiaries who survive me in equal shares (or in the specified shares, if indicated). If the Primary or Contingent Beneficiary box is not checked for a beneficiary, the beneficiary will be deemed to be a Primary Beneficiary. If none of the Primary Beneficiaries survive me, the balance in the account shall be paid to the Contingent Beneficiaries who survive me in equal shares (or in the specified shares, if indicated). If I named a beneficiary which is a Trust, I understand I must provide certain information concerning such Trust to the Custodian. If an account owner does not designate an account beneficiary, the assets of the account will be transferred to the estate upon the account owner's death. I understand that I may change or add beneficiaries at any time by completing and delivering the proper form to the Administrator. Signature of Participant: Date: Spousal Consent (only required if your spouse is not the primary beneficiary - see note below). The consent of spouse must be signed only if all of the following conditions are present: a. Your spouse is living; b. Your spouse is not the sole primary beneficiary name and; c. You and your spouse are residents of a community property state (such as AZ, CA, ID, NV, NM, TX, WA, LA or WI). I am the spouse of the account holder listed above. I hereby certify that I have reviewed the Designation of Beneficiary form and I understand that I have a property interest in the account. I hereby acknowledge and consent to the above Designation of beneficiary other than or in addition to myself as primary beneficiary. I further acknowledge that I am waiving part or all of my rights to receive benefits under this plan when my spouse dies. I, hereby consent to the above Beneficiary design...
Sample 1Sample 2See All (11)
AutoNDA by SimpleDocs
Phone Email. The winner ❑ has been ❑ will be (check one) notified that they are the first-place Department winner on . VOICE OF DEMOCRACY VOICE OF DEMOCRACY 2022-2023 Theme: “Why Is The Veteran Important?” Proudly Sponsored By Student Entry Deadline: October 31, 2022 Patriotic Audio Essay Competition Grand Prize: $30,000 Scholarship For assistance contact: 816.756.3390 ext. 6155 Email: xxxxxxxxxxxxxxxxx@xxx.xxx xxx.xxx VFW STORE ORDER NO. 4420 LOCAL VFW POST INFORMATION CONTACT: PHONE: BEST TIME TO CALL: ALTERNATE CONTACT: PHONE: BEST TIME TO CALL: Revised 1/2022 What is the Voice of Democracy Program? Since 1947, the Voice of Democracy has been the Veterans of Foreign Wars’ (VFW’s) premier scholarship program. Each year, nearly 80,000 high school students compete for more than $2 million in scholarships and incentives. Students compete by writing and recording an audio essay on an annual patriotic theme. This year’s theme is, “Why is the Veteran Important?” Why Should I Enter? Prizes and scholarships can be awarded at the Post, District, state and national level. Department (State) winners receive all-expense-paid trip to Washington D.C., to tour the city, be honored by the VFW and its Auxiliary and receive their portion of $156,000 in national awards, the top scholarship being $30,000. The Rules Who can enter? The Voice of Democracy is open to students in grades 9-12 by the Oct. 31 deadline, who are enrolled in a public, private or parochial high school or home study program in the United States, its territories and possessions. Although U.S. citizenship is not required, students must be lawful U.S. permanent residents or have applied for permanent residence (the application for which has not been denied) and intends to become a U.S. citizen at the earliest opportunity allowed by law. Foreign exchange students, students age 20 or over, previous Voice of Democracy first place state winners, GED or Adult Education Students are not eligible for entry. What do I need to enter? Record your original 3-5 minute (+ or – 5 second max.) audio essay on a flash drive, or other electronic device. You will submit the recording, typed essay and this completed entry form. Provide these items to your school/group competition or local VFW Post for judging. In addition you can submit your emailed entry form, essay, and audio file to the VFW Post upon approval. You must be the sole author of your essay. The recording must be in your own voice and in English. Hearing/speech impaired stud...
Sample 1
Phone Email. Mrs./Mr. .............................................................................. .......................... Surname, First Name enrollment number I hereby request approval for the overleaf/following study plan to satisfy the formal requirements of the Master’s degree in International Software Systems Science as specified in section §40 of the degree regulations (StuFPO). I am aware that this learning agreement does not bind me to attend the specified modules and that it can be changed at any time, subject to reapproval by the degree examining board. I am also aware that separate learning agreements are required for internships and international studies abroad in module group A5, and that this additional learning agreement must submitted in the semester before the start of the internship or my departure for the studies abroad. General structure of my personal study plan:  full‐time study ☐ part‐time study ☐  Start of studies: summer semester ☐ winter semester ☐  Module Group A5: international internship ☐ international study abroad ☐  Intended focal area(s) according to Xxxxxxx §00 StuFPO: (please specify) …………………………………............................................................. Learning Agreement (Master ISoSySc) , WIAI, Version WS15/16, MM/AB 1/2 The Faculty of Information Systems and Applied Computer Sciences WIAI Proposed Study Plan Semester Module ECTS SWS Module Group Focal Areas ☐ WS ....... ☐ SS ........
Sample 1
Phone Email. Are you a ⬜ TRA Member ⬜ Beneficiary or optional joint annuitant (XXX) of a member
Sample 1

Related to Phone Email

  • Telephone Service Notwithstanding any other provision of this Lease to the contrary:

  • Telephone Number   Telephone Number Fax Number (if available) Fax Number (if available)

  • Phone Number Email address .................................................................

  • Email You acknowledge that we are able to send electronic mail to you and receive electronic mail from you. You release us from any claim you may have as a result of any unauthorised copying, recording, reading or interference with that document or information after transmission, for any delay or non-delivery of any document or information and for any damage caused to your system or any files by a transfer.

  • Telephone Services All telegraph, telephone, and communication connections which Tenant may desire outside the Premises shall be subject to Landlord’s prior written approval, in Landlord’s sole discretion, and the location of all wires and the work in connection therewith shall be performed by contractors approved by Landlord and shall be subject to the direction of Landlord, except that such approval is not required as to Tenant’s cabling from the Premises in a route designated by Landlord to any telephone cabinet or panel provided for Tenant’s connection to the telephone cable serving the Building, so long as Tenant’s equipment does not require connections different than or additional to those to the telephone cabinet or panel provided. As to any such connections or work outside the Premises requiring Landlord’s approval, Landlord reserves the right to designate and control the entity or entities providing telephone or other communication cable installation, removal, repair and maintenance outside the Premises and to restrict and control access to telephone cabinets or panels. In the event Landlord designates a particular vendor or vendors to provide such cable installation, removal, repair and maintenance for the Building, Tenant agrees to abide by and participate in such program. Tenant shall be responsible for and shall pay all costs incurred in connection with the installation of telephone cables and communication wiring in the Premises, including any hook-up, access and maintenance fees related to the installation of such wires and cables in the Premises and the commencement of service therein, and the maintenance thereafter of such wire and cables; and there shall be included in Operating Expenses for the Building all installation, removal, hook-up or maintenance costs incurred by Landlord in connection with telephone cables and communication wiring serving the Building which are not allocable to any individual users of such service but are allocable to the Building generally. If Tenant fails to maintain all telephone cables and communication wiring in the Premises and such failure affects or interferes with the operation or maintenance of any other telephone cables or communication wiring serving the Building, Landlord or any vendor hired by Landlord may enter into and upon the Premises forthwith and perform such repairs, restorations or alterations as Landlord deems necessary in order to eliminate any such interference (and Landlord may recover from Tenant all of Landlord’s costs in connection therewith). No later than the Termination Date, Tenant agrees to remove all telephone cables and communication wiring installed by Tenant for and during Tenant’s occupancy, which Landlord shall request Tenant to remove. Tenant agrees that neither Landlord nor any of its agents or employees shall be liable to Tenant, or any of Tenant’s employees, agents, customers or invitees or anyone claiming through, by or under Tenant, for any damages, injuries, losses, expenses, claims or causes of action because of any interruption, diminution, delay or discontinuance at any time for any reason in the furnishing of any telephone or other communication service to the Premises and the Building.

  • Telephone Number Consumer Credit Associates, Inc. Call (000) 000-0000, either extension 000 Xxxxxxxxxxxx Xxxxxx, Xxxxx 000 150, 101, or 112, for all inquiries. Xxxxxxx, Xxxxx 00000-0000 Equifax Members that have an account number may call their local sales representative for all inquiries; lenders that need to set up an account should call (000) 000-0000 and select the customer assistance option. TRW Information Systems & Services Call (000) 000-0000 for all inquiries, 000 XXX Xxxxxxx current members should select option 3; Xxxxx, Xxxxx 00000 lenders that need to set up an account should select Option 4. Trans Union Corporation Call (000) 000-0000 to get the name of 555 West Xxxxx the local bureau to contact about setting Xxxxxxx, Xxxxxxxx 00000 up an account or obtaining other information.

  • Contact Us If you have any questions regarding this Privacy Policy or the practices of this Site, please contact us by sending an email to xxxxxxx@xxxxxxxxxx.xxx.

  • Phone To facilitate your communication with CCUSA in the US, we also recommend that you purchase a mobile phone and provide your number at the time you validate your visa.

  • Telephone No ( ) - Fax No.: ( ) - E-mail Address: IN WITNESS WHEREOF, two (2) identical counterparts of this instrument, each of which shall for all purposes be deemed an original thereof, have been duly executed by the Principal and Surety above named, on the day of , 20 . Principal (Name of Principal) (Signature of Person with Authority) (Print Name) Surety (Name of Surety) (Signature of Person with Authority) (Print Name) (Name of California Agent of Surety) (Address of California Agent of Surety) (Telephone Number of California Agent of Surety) Contractor must attach a Notarial Acknowledgment for all Surety's signatures and a Power of Attorney and Certificate of Authority for Surety. The California Department of Insurance must authorize the Surety to be an admitted surety insurer. PAYMENT BOND PAYMENT BOND -- Contractor's Labor & Material Bond (100% of Contract Price) (Note: Contractors must use this form, NOT a surety company form.) KNOW ALL PERSONS BY THESE PRESENTS:

  • Telephone Numbers Customer Service and Preauthorization: In state: 000-000-0000; Out of state: 0-000-000-0000; Hearing impaired: 711 Appeals: 000-000-0000 Preauthorization and notification for Behavioral Health services: 0-000-000-0000 Customer Service: In state: 000-000-0000; Out of state: 0-000-000-0000; Hearing impaired: 711 Home Delivery (Mail Order): 0- 000-000-0000 Preauthorization: 0-000-000-0000 Customer Service: In state: 000-000-0000; Out of state: 0-000-000-0000; Hearing impaired: 711 Customer Service and Appeals: 0-000-000-0000 Website: xxx.xxxxxx.xxx xxx.xxxxxx.xxx xxx.xxxxxx.xxx xxx.xxxxxx.xxx Fax: Appeals: 000-000-0000 Preauthorization and Appeals: 0-000-000-0000 Not Applicable Appeals: 0-000-000-0000 Mailing address to file a claim: Blue Cross & Blue Shield of Rhode Island Claims Department 000 Xxxxxxxx Xxxxxx Xxxxxxxxxx, XX 00000 Prime Therapeutics, LLC. P.O. Box 21870 Lehigh Valley, PA 18002-1870 Blue Cross & Blue Shield of Rhode Island Dental Claims Administrator P.O. Box 69427 Harrisburg, PA 17106-9427 Blue Cross Vision c/o EyeMed Vision Care Attn: OON Claims P.O. Box 8504 Mason, OH 45040-7111 Mailing address to submit an appeal: Blue Cross & Blue Shield of Rhode Island Grievance and Appeals Xxxx 000 Xxxxxxxx Xxxxxx Xxxxxxxxxx, XX 00000 Prime Therapeutics, LLC. Clinical Review Dept. 0000 Xxxxxxxxx Xxxxxx Xxxxx Xxxxx, XX 00000 Blue Cross & Blue Shield of Rhode Island Dental Customer Service – Appeals P.O. Box 69420 Harrisburg, PA 17106-9420 EyeMed Vision Care Attn: Quality Assurance Dept. 0000 Xxxxxxxxx Xxxxx Xxxxx, XX 00000 BCBSRI Customer Service Department Call Center hours are: • Monday thru Friday 8:00 AM to 8:00 PM • Saturday thru Sunday 8:00 AM to 12:00 PM Your Blue Store You may also visit one of our retail walk-in service centers. Please check our website for specific locations and business hours.

Time is Money Join Law Insider Premium to draft better contracts faster.