Please Print. OR TYPEWRITE NAME AND ADDRESS, INCLUDING POSTAL ZIP CODE OF ASSIGNEE the within Series G Senior Note and all rights thereunder, hereby irrevocably constituting and appointing _______________________________________________________________________________.
Please Print. OR TYPEWRITE NAME AND ADDRESS, INCLUDING POSTAL ZIP CODE OF ASSIGNEE the within Debenture and all rights thereunder, hereby irrevocably constituting and appointing _______________________________________________________________________________.
Please Print. Renter: Mailing Address: Daytime Phone: Date of Birth: Drivers License Number Date of Shelter Use: Time of Shelter Use: Will alcohol be present & consumed during the event? YES NO Veterans Park Shelter – Kitchen, Indoor & Outdoor Seating Rental Fee Tax Damage Deposit TOTAL $100.00 $7.13 $50.00 $157.13 Are All Due At The Time Of Reservation. Banquet Hall Seating Capacity – 86 Outdoor Seating Capacity – 48 The Renter must sign this Rental Agreement in the space provided below. By doing so, the Renter agrees to adhere to the following requirements; unless special arrangements have been noted by City Staff on this Rental Agreement and agrees to accept the consequences for their failure to do so. I hereby acknowledge that I have received a Clean-Up Check List and a copy of the Ordinance related to the consumption of alcohol at Veterans Park. Renter’s Signature Date City Approval Date Facilities Available At Veterans Park ⮚ Oven & Stove ⮚ Microwave ⮚ Refrigerator ⮚ Double Sink ⮚ Counters ⮚ Electrical Outlets ⮚ Restrooms ⮚ Playground Equipment ⮚ Charcoal Grills ⮚ 6 – Picnic Tables ⮚ 2 – Volleyball Courts & Nets ⮚ Folding Tables (Blue – Office Copy, White – Customer Copy) ⮚ Folding Chairs ⮚ Boat Access To Lake Koronis ⮚ Walking/Biking Trail System ⮚ Swimming Beach With Lifeguards Please see back for park regulations.
Examples of Please Print in a sentence
Sanford, Managing Director, spel@gao.gov, (202) 512-4707 U.S. Government Accountability Office, 441 G Street NW, Room 7814, Washington, DC 20548 Please Print on Recycled Paper.
Dated: Name: Please Print Address: (Insert Social Security or Other Identifying Number of Holder) Signature Guaranteed: Signature (Signature must conform in all respects to name of holder as specified on the face of this Warrant Certificate and must bear a signature guarantee by a FINRA member firm).
Authorized Business Entity Authorized Business EntityRepresentative’s Name Representative’s Signature (Please Print) Business Entity Name Date As a business entity, the grantee, sub grantee, contractor, or subcontractor must perform/provide the following.
Dated Name Please Print Address: (Insert Social Security or Other Identifying Number of Holder) Signature Guaranteed Signature (Signature must conform in all respects to name of holder as specified on the face of this Warrant Certificate and must bear a signature guarantee by a FINRA member firm).
Firm Name (Please Print): Firm’s Officer: (Authorized Signature and Title Required) Date Sworn to and Subscribed to before me this day of , 201 .
More Definitions of Please Print
Please Print. OR TYPEWRITE NAME AND ADDRESS OF TRANSFEREE) [●] nominal amount of the Instruments represented by this Certificate, and all rights under them. Dated ........................................................ Signed .............................................
Please Print. Date: Circle a Facility: Sgt. Xxxxxx Xxxx (Banquet Hall) Sgt. Jasper Park (Gazebo) Sgt. Jasper Park (Picnic Shelter) Person Responsible: Phone: Mailing Address: City: State: Zip Code: Additional Contact Person Phone:
Please Print. Date: Name: Street Address: City, State, & Zip: Phone Number: Email: For good and valuable consideration, the exchange, receipt, and sufficiency of which the parties hereto hereby acknowledge, Pace University agrees to grant the above-named person (“You”) access to Pace University School of Law Library in accordance with the following terms and conditions (“Bar Review Access Contract”): General: Bar Review Access may be purchased by individuals who are not graduates of Pace University, and who are studying to take the February or July administration of the bar exam. Seekers of Bar Review Access must show proof acceptable to Pace University in its sole and confidential discretion that such seekers are studying for the February or July Bar Exam at the time of purchase. Acceptable forms of proof are: bar exam registration receipt, or the receipt or ID issued by a commercial bar preparation course. The access granted by this Bar Review Access Contract is granted to you alone and is accordingly nontransferable. You may not assign or otherwise transfer this Bar Review Access Contract or its rights or responsibilities to any other person or entity. You hereby acknowledge that your failure to comply with any Law Library or University rules, regulations, or procedures or with directives of authorized University personnel may subject the noncompliant individual to immediate ejection from University property and termination of this Bar Review Access Contract, without refund. You must reshelve any and all materials you use. A complete set of Law Library rules is available at xxxx://xxx.xxxx.xxx.
Please Print. Name(s): Address: City/Town: Province: Postal Code: Home Phone Number: Cell Phone Number: E-mail Address: TYPE OF CREDIT CARD: □ MASTERCARD □ VISA □ AMERICAN EXPRESS CREDIT CARD NUMBER: EXPIRY DATE: 3 DIGITS ON BACK OF CARD: BILL CARD NUMBER: WATER BILLS: Regular payments for the full amount of services delivered will be debited from my/our specified credit card on/about the 5th day following a water billing period. This authority is to remain in effect until Dundurn Rural Water Utility has received written notification from me/us of its change or termination. This notification must be received at least ten (10) business days before the next debit is scheduled at the address provided above. The Dundurn Rural Water Utility may not assign this authorization, whether directly or indirectly, by operation of law, change of control or otherwise, without providing at least ten (10) days prior written notice to me/us. I/We have certain recourse rights if any debit does not comply with this Agreement. i.e. – I/We have the right to receive reimbursement for any PAD that is not authorized or is not consistent with this PAD agreement. To obtain a sample cancellation form, or for more information on your right to cancel a PAD Agreement, contact your financial institution or visit xxx.xxxxxx.xx. To obtain more information on your recourse rights, contact your financial institution or visit xxx.xxxxxx.xx.
Please Print. CLEARLY or TYPE the names of the beneficiaries. • To name a trust as beneficiary, please provide the name of the trustee(s) and the exact name and date of the trust agreement. • To name your estate as beneficiary, please write “Estate of _[your name]_”. • Be aware that none of the contingent beneficiaries will receive anything unless ALL of the primary beneficiaries predecease you. • Except as otherwise defined in this instrument, the terms used in this instrument shall have the meaning set forth in the Plan. I understand that I may change these beneficiary designations by delivering a new written designation to the Plan Administrator, which shall be effective only upon receipt and acknowledgment by the Plan Administrator prior to my death. I further understand that the designations will be automatically revoked if the beneficiary predeceases me, or, if I have named my spouse as beneficiary and our marriage is subsequently dissolved. I hereby revoke any and all previous beneficiary designations made by me under the Plan. Name: Signature: Date: Received by the Plan Administrator this day of , 20 . By: Title: POLICY ENDORSEMENT Contract Owner: ENTERPRISE BANK AND TRUST COMPANY The undersigned Owner requests that the policy(ies) shown in the attached Schedule Page issued by the (the “Insurer”) provide for the following beneficiary designation:
Please Print. Clearly Or Type: Name of Applicant Name of Organization (Required) Mailing Address Phone Number E-Mail Address City/ State/Zip Code Signature of Authorized Applicant Date Date(s) Requested: Day(s) Of Week: (Please list) (Please list) Entrance Time to Facility: Exit Time From Facility: Start of Activity: End of Activity: I have read this Agreement and the Conditions of Use of Easton Public School property, and accept the responsibility for the sponsoring group for payment of bills, the observance of all regulations, and all terms hereof. I/we agree to a RENTAL FEE OF (plus services). A DEPOSIT of $ to be paid at the time the Facility Application is submitted unless other arrangements are agreed upon in advance. I understand that an Automated External Defibrillator (AED) may be available on school grounds and access to the device is conditioned on a conversation with the school principal regarding the location of the device, the rules of use, and my responsibility to provide a trained AED provider. Furthermore, I accept, on behalf of my organization, all liability concerning the use, misuse, or failure to use the AED. I understand EPS has no responsibility or liability concerning use, misuse, or failure to use the AED during the term of facilities usage described in this agreement.
Please Print. Name: Date: Address: City: Zip Code: Phone: ( ) Client signature: Caregiver signature (if applicable): Emergency Contact: