Licensee Signature definition

Licensee Signature. Date: Address: Authorized Signature: Date: Printed Name of Signer:
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Licensee Signature. Date: LICENSEE: Dated: Signature: X Print Name: Address: City: State: Zip Code: Daytime Phone: ( ) Email: Usage: (Car; Car + Tent;) Total Price: $ Please xxxx my Credit Card ( circle one) Visa MC AMX CC#: _ _ CCV: Ex. _ /_ / Print Cardholder Name: Cardholder Signature: X Make check payable to “TAILGATE BAR & GRILL” and mail to: 000 Xxxxxx Xxxxxx Jacksonville, FL 32202 Phone (000) 000-0000 Fax (000) 000-0000 Email: XxxxxxxxXxxxxxx@Xxxxx.xxx
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Licensee Signature. Date: LESSOR /AGENTS SIGNATURE: Date: WITNESS: Name: SIGNATURE: Date:
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Examples of Licensee Signature in a sentence

  • BROKER / BROKER’S AFFILIATED LICENSEE CONTACT INFORMATION Selling Broker MLS Office Code Brokerage Firm License Number Broker/Affiliated Licensee Signature Broker’s Phone Number Fax Number Print or Type Name Date Broker’s Address Licensee’s Phone Number Fax Number Licensee’s E-mail Address GA Real Estate License Number REALTOR® Membership RECEIPT OF A COPY OF THIS AGREEMENT IS HEREBY ACKNOWLEDGED BY BUYER.

  • FOR TRAINING ONLY BROKER / BROKER’S AFFILIATED LICENSEE CONTACT INFORMATION Leasing Broker MLS Office Code Brokerage Firm License Number Broker/Affiliated Licensee Signature Broker’s Phone Number Fax Number Print or Type Name Date Broker’s Address Licensee’s Phone Number Fax Number Licensee’s E-mail Address GA Real Estate License Number REALTOR® Membership RECEIPT OF A COPY OF THIS AGREEMENT IS HEREBY ACKNOWLEDGED BY TENANT.

  • FOR TRAINING ONLY BROKER / BROKER’S AFFILIATED LICENSEE CONTACT INFORMATION Listing Broker MLS Office Code Brokerage Firm License Number Broker/Affiliated Licensee Signature Broker’s Phone Number Fax Number Print or Type Name Date Broker’s Address Licensee’s Phone Number Fax Number Licensee’s E-mail Address GA Real Estate License Number REALTOR® Membership RECEIPT OF A COPY OF THIS AGREEMENT IS HEREBY ACKNOWLEDGED BY SELLER.

  • Licensee: Signature: Printed Name: Address: Phone: Email: Return completed Agreement along with both payments to: Darien Swim & Racquet Club c\o Rental Chairperson 0000 Xxxxxxxxx Xxx.

  • BROKER / BROKER’S AFFILIATED LICENSEE CONTACT INFORMATION Listing Broker MLS Office Code Brokerage Firm License Number Broker/Affiliated Licensee Signature Broker’s Phone Number Fax Number Print or Type Name Date Broker’s Address Licensee’s Phone Number Fax Number Licensee’s E-mail Address GA Real Estate License Number REALTOR® Membership RECEIPT OF A COPY OF THIS AGREEMENT IS HEREBY ACKNOWLEDGED BY SELLER.

  • Building Owner’s Signature Licensee Signature Building Owner’s Name (print) Licensee Name (print) Date Date On-LicenceBuilding Owner’s Approval If the applicant is not the owner of the building, the owner must complete this form.

  • THE INSTITUTE FOR SCIENTIFIC ANALYSIS (Licensor) By Xxxxx Xxxxx Title Manager, CSM Program Date (Licensee) Signature Printed Name Title Date Attachment A ATTACHMENT A--FEE SCHEDULE September 1, 2018 Annual fees for Association membership and software utilization are defined for several different types of memberships and levels of utilizations.

  • Licensee Signature Date Printed Signature (as signed above) Title Mailing address City, State, ZIP Phone e-mail address STATE OF COUNTY OF Sworn to (or affirmed) and subscribed before me this day of , 20 , by .

  • Licensee Signature: Name & Title: Date: This bottom portion is to be filled out by a certified SWIS/EC-SWIS/CICO-SWIS/I-SWIS facilitator.

  • Licensee Signature: Date: _*TEMPORARY FOOD SERVICE (TFS) RESTRICTION: AUTHORIZES THE TFS TO OPERATE AT SPECIFIED TEMPORARY EVENTS IN SANDERS COUNTY.


More Definitions of Licensee Signature

Licensee Signature. Broker of Record Signature: Licensee Name Printed: Broker of Record Name Printed: Licensee’s TREB Membership Number: Office Name: Office Address: Please check off one of the following: Release all of Brokerage’s Listings Release all of Branch Office’s Listings Release only Licensee’s Listings Licensee’s Email Address To be completed by TREB: Toront o Real Estate Board: Per: Date: Name: Title: SCHEDULE “A” LICENSE FEES TREB may change its License Fees no more often than annually, and no increase in License Fees shall exceed 10 percent per annum over the License Fees for the prior calendar year. The License Fees payable by the Licensee are as follows:
Sample 1
Licensee Signature. Name & Title: Date: This bottom portion is to be filled out by a certified SWIS/EC-SWIS/CICO-SWIS/I-SWIS facilitator. Facilitator Name: Email: I affirm, in my judgement the school above meets readiness requirements for adopting SWIS, EC-SWIS, CICO-SWIS, I-SWIS. Facilitator Signature: Date: Attachment A: License Fees LICENSEE will pay the following License Fees to OREGON (The fees listed below are per school per academic year per application (SWIS, CICO-SWIS, I-SWIS, EC-SWIS) a school accesses) If Licensee is an individual school, the price per bundle of applications is: 1 application (SWIS, CICOSWIS, I-SWIS) 2 applications (SWIS+CICO-SWIS, SWIS+I-SWIS, CICO-SWIS+I-SWIS) 3 applications (SWIS+CICOSWIS+I-SWIS) $350 $460 $570 1 application (EC-SWIS, CICOSWIS, I-SWIS) 2 applications (EC-SWIS+XXXX- XXXX, XX-SWIS+I-SWIS, CICO- SWIS+I-SWIS) 3 applications (EC- SWIS+CICOSWIS+I-SWIS) $350 $460 $570 If Licensee is an organization (e.g., district, ESD, state, grant) purchasing applications for a set of schools, Licensee will be billed at the following tiers: 1 application (SWIS, CICO-SWIS, ISWIS) 2 applications (SWIS+CICO- SWIS, SWIS+I-SWIS, CICO- SWIS+I-SWIS) 3 applications (SWIS+CICO- SWIS+ISWIS) 1-19 schools $350 $460 $570 20-39 schools 10% discount ($315) 10% discount ($414) 10% discount ($513) 40+ schools 20% discount ($280) 20% discount ($368) 20% discount ($456) 1 application (EC-SWIS, CICO-SWIS, I-SWIS) 2 applications (EC- SWIS+CICOSWIS, EC-SWIS+I- SWIS, CICO-SWIS+I-SWIS) 3 applications (EC- SWIS+CICO-SWIS+ISWIS) 1-19 schools $350 $460 $570 20-39 schools 10% discount ($315) 10% discount ($414) 10% discount ($513) 40+ schools 20% discount ($280) 20% discount ($368) 20% discount ($456) All organizational Licensees have the option to prepay for schools’ bundled applications at the appropriate tiered rate. If Licensee does not prepay the Licensee Fee, it will be invoiced upon account setup at the appropriate tier. License Fees will be prorated from the first full month of access to the application. Applications purchased as a bundle at the initial point of purchase will receive the bundled discount. Applications purchased one at a time throughout the year are each billed at the prorated 1-application rate. All applications initially purchased one at a time will be renewed at any applicable bundled rates. Attachment B: Privacy and Security Privacy and security are among our highest priorities for the SWIS Suite. We work diligently to maintain student and teacher pr...
Sample 1
Licensee Signature. Date: Facility Rep Signature: Date: Please leave this page and your check in the drop box. Fee Schedule: RESERVATION FEE $100.00 This is due at the time of reservation. Non-refundable unless cancelled, in which case 100% of the deposit will be refunded if we are given at least 14 days cancellation notice. No refund if less than 14 days notice. NO EXCEPTIONS.
Sample 1
Licensee Signature. Date: Print Name: Title: Mayor’s Signature: Date: Print Name: Title: TO BE COMPLETED BY CITY PERSONNEL Insurance Attached: YES NO Deposit: YES NO If yes: Amount Check # (write cash if paid in Cash) Batch # Schedule Included: YES NO Fee Charged: Recreation Department Personnel: Signature: Date: Attachment A- Insurance Attachment B- Recreation Department Fees City of Saratoga Springs RECREATION DEPARTMENT FEES - 2018: Ice Rink Fee The Ice Rink Fees will be effective on July 1, 2017 Description Fees XXXXXX ARENA - HOURLY RATE CITY USER GROUPS $ 155.00 NON-CITY USER GROUPS $ 175.00 CITY USER GROUPS- Summer Rental $ 180.00 NON-CITY USER GROUPS- Summer Rental $ 190.00 Groups such as BOCES, WALDORF SCHOOL of SARATOGA SPRINGS, etc. during off peak day time school hours Monday - Friday will be FREE, or be given a REDUCED FEE. If ice is needed by other customers, they will be given priority. XXXXXX AVENUE ICE RINK - HOURLY RATE CITY USER GROUPS $ 165.00 NON-CITY USER GROUPS $ 185.00 CITY USER GROUPS- Summer $ 180.00 NON-CITY USER GROUPS- Non Summer $ 190.00 BANNERS INSTALLATION OF BANNER $ 50.00 REPLACE BANNER IN THE SAME LOCATION $ 25.00 FOR PROFIT ORGANIZATION ANNUAL FEE $ 50.00 INTERNET ORAGANIZATIONS UTLIZING INTERNET CONNECTION PER SEASON Varies Late Payment Fees for payments received more than 30 days after billing date $ 25.00
Sample 1

Related to Licensee Signature

  • E-Signature means the process of attaching to or logically associating with an Electronic Transmission an electronic symbol, encryption, digital signature or process (including the name or an abbreviation of the name of the party transmitting the Electronic Transmission) with the intent to sign, authenticate or accept such Electronic Transmission.

  • 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).

  • Employee Signature Date: Supervisor Signature: Date:

  • the Signature Date means the date on which this Agreement is signed by the Party signing last in time;

  • Digital Signature means authentication of any electronic record by a subscriber by means of an electronic method or procedure in accordance with the provisions of section 3;

  • Witness Signature Witness name: Address: Occupation:

  • Facsimile signature means a signature engraved, lithographed, printed, stamped, or otherwise mechanically reproduced or computer-generated.

  • Contract Signature Page(s) means the cover page(s) that the Department and Contractor sign.

  • E-SIGN means the Electronic Signatures in Global and National Commerce Act (15 U.S.C. § 7001 et seq.), as it may be amended from time to time, or any applicable additional or successor legislation that governs the same subject matter.

  • Marquee sign means any sign attached to or supported by a marquee, which is a permanent roof-like projecting structure attached to a building.

  • Mobile Sign means a sign mounted on trailer or frame, lighted or unlighted, which is not permanently attached to a structure or the ground.

  • Pole sign means a sign that is mounted on a freestanding pole or other support so that the bottom edge of the sign face is six feet or more above grade.

  • Signature means a tangible symbol or an electronic signature that evidences the signing of a record.

  • Authorized User means one named employee, contractor or agent of Customer (each identified by a unique email address) for whom Customer has purchased a subscription to the Subscription Services and who is authorized by Customer to access and use the Services under the rights granted to Customer pursuant to this Agreement.

  • Fascia Sign means a sign attached to, marked or inscribed on, erected or placed against a wall forming part of a building, or supported by or through a wall of a building and having the exposed face thereof on a plane approximately parallel to the plane of such wall and includes a painted wall sign and an awning sign. A fascia sign shall not include any other sign defined in this By-law unless otherwise stated;

  • Date of Signature means the date of signature of this Agreement by the last party signing;

  • Authorized Users means employees or contractors of the Licensee who regularly work at Your Workplace who use the Software.

  • Driver license means a license that is issued by a state to

  • Manual brachytherapy means a type of brachytherapy in which the brachytherapy sources (e.g., seeds, ribbons) are manually placed topically on or inserted either into the body cavities that are in close proximity to a treatment site or directly into the tissue volume.

  • Licensed User means a natural person employed by or under contract to Licensee who is assigned a unique and fixed user account to consume one license to use the Licensed Software, Output, or an Application, under this License Agreement, regardless of whether such individual is actively using the Licensed Software, Output, or an Application at any given time. Licenses for Licensed Users are priced on a per seat or site subscription basis.

  • Insignia means Insignia Financial Group, Inc., a Delaware corporation.

  • Trade name means the name of the Hotel set forth in the Addendum.

  • Licensee Data means, other than Resultant Data, information, data and other content, in any form or medium, that is collected, downloaded or otherwise received, directly or indirectly from Licensee or an Authorized User by or through the Services.

  • WITNESS/ATTEST LANDLORD: CONSTELLATION REAL ESTATE, INC., Agent for Owner /s/ BY: /s/ J. Xxxxxxx Xxxxx (SEAL) ----------------------------------- ----------------------------- J. Xxxxxxx Xxxxx, Senior Vice President WITNESS/ATTEST: TENANT: X.X. XXX XXXX & ASSOCIATES, INC. /s/ BY: /s/ J. Xxxx X. Xxx Xxxx (SEAL) ----------------------------------- ----------------------------- Name: J. XXXX X. XXX XXXX -------------------------------- Title: President ------------------------------- STATE OF MARYLAND, COUNTY OF [ILLEGIBLE], to wit: I HEREBY CERTIFY, that on this 30th day of December, 1996, before me, the subscriber, a Notary Public of the State of Maryland, personally appeared J. XXXXXXX XXXXX known to me or satisfactorily proven to be the Senior Vice President of CONSTELLATION REAL ESTATE, INC., a Maryland corporation, Agent for Owner, and acknowledged that he executed the foregoing instrument for the purposes therein contained by signing the name of the Corporation by himself as such Senior Vice President. WITNESS my hand and Notarial Seal. /s/ ------------------------------------- Notary Public My Commission Expires: 0-0-00 XXXXX XX XXXXXXXX, XXXXXX XX Xxxxxxxxx, to wit: I HEREBY CERTIFY, that on this 16th day of December, 1996, before me, the subscriber, a Notary Public of the State of Maryland, personally appeared J. Xxxx X. Xxx Xxxx, known to me or satisfactorily proven to be the President of X. X. XXX XXXX & ASSOCIATES, INC., a Maryland corporation, and acknowledged that he/she executed the foregoing instrument for the purposes therein contained by signing the name of the Corporation by himself/herself as President. WITNESS my hand and Notarial Seal. /s/ ------------------------------------- Notary Public My Commission Expires: 10/1/99 SECOND AMENDMENT AND EXTENSION TO AGREEMENT OF LEASE THIS SECOND AMENDMENT AND EXTENSION TO AGREEMENT OF LEASE (this "Amendment"), made this 8th day of May, 2001, by and between NBP 000-000-000, LLC ("Landlord"), and GETRONICS GOVERNMENT SOLUTIONS, L.L.C., formerly known as Wang Government Services, Inc. ("Tenant").

  • Electronic Signature means an electronic sound, symbol, or process attached to or logically associated with a record and executed or adopted by a person with the intent to sign the record.

  • Sublicense Agreement means any agreement or arrangement pursuant to which Licensee (or an Affiliate or Sublicensee) grants to any third party any of the license rights granted to the Licensee under the Agreement.