Revocability and Cancellation. This is a legally binding Contract. This Contract is revocable unless the Purchaser indicates otherwise by signing in the space provided below (see Disclosure 7). This Contract cannot be modified or changed without the written approval of the Seller. ____________________________________________________________________ I am signing this statement to waive and renounce my right to PURCHASER’S SIGNATURE DATE cancel this Contract. I understand that the Contract will be irrevocable and I will not be entitled to a refund of any of the money I have _____________________________________________________________________ paid. I understand that I do not have to sign this irrevocable option in order AUTHORIZED PRENEED SALES AGENT NAME to have a contract for Funeral Merchandise and Services. By my signature below, I am waiving my right to cancel this Contract because I want to _____________________________________________________________________ qualify for public assistance such as Medicaid, Supplemental AUTHORIZED PRENEED SALES AGENT SIGNATURE DATE Security Income, or other public assistance. ______________________________________________________________ PURCHASER’S SIGNATURE DATE
Appears in 1 contract
Revocability and Cancellation. This is a legally binding Contract. This Contract is revocable unless the Purchaser indicates otherwise by signing in the space provided below (see Disclosure 7). This Contract cannot be modified or changed without the written approval of the Seller. ____________________________________________________________________ I am signing this statement to waive and renounce my right to PURCHASER’S SIGNATURE DATE cancel this Contract. I understand that the Contract will be irrevocable and I will not be entitled to a refund of any of the money I have _____________________________________________________________________ paid. I understand that I do not have to sign this irrevocable option in order AUTHORIZED PRENEED SALES AGENT NAME to have a contract for Funeral Cemetery Merchandise and Services. By my signature below, I am waiving my right to cancel this Contract because I want to _____________________________________________________________________ qualify for public assistance such as Medicaid, Supplemental AUTHORIZED PRENEED SALES AGENT SIGNATURE DATE Security Income, or other public assistance. ______________________________________________________________ PURCHASER’S SIGNATURE DATE
Appears in 1 contract
Sources: Contract for Preneed Cemetery Merchandise and Services