Signature of Client definition

Signature of Client representative: Date: email: Check one: _ Single press release insertion on xxxxxxXXX.xxx $100. 12-month unlimited press release insertions on xxxxxxXXX.xxx $1,000. Payment information Billing address Name on card Card Type AMEX MC Visa Card Number Exp. Date TERMS AND CONDITIONS FOR CLIENT-SUBMITTED CONTENT You are responsible for the content and accuracy of all content (Content) submitted by you to insideARM LLC (IA). IA cannot be responsible for verifying facts contained in Content. IA reserves the right (i) to reject or edit Content, provided that substantive edits to the Content will not be done without your consent; and (ii) to remove any Content from its site or deny approval to any Content. IA can only remove Content from its own site and IA makes no representation or warranty regarding the removal of Content from sites not under the control of IA. IA endeavors to publish submitted Content accurately. Any inadvertent errors by IA will be corrected promptly upon discovery, without additional charge, and such obligation to correct shall constitute the sole liability of IA in this regard. IA does not warrant either specific timing or placement of any Content, nor pick-up by third parties of any Content on its site or publications. You represent and warrant to IA that (i) you have the right to deliver the Content to IA, (ii) you will comply with all applicable laws, rules and regulations, including but not limited to the Children’s Online Privacy Protection Act of 1998 and laws relating to “spam”, (iii) Content will not contain any content that is obscene, libelous, slanderous or otherwise defamatory, false or misleading or which violates any Copyright, right of privacy or publicity or other right of any person. Liability and Indemnification IA’s entire liability for damages for any claims arising under or in connection with your submission of Content, regardless of the cause of action, whether in contract or in tort (including without limitation, breach of warranty and negligence claims) shall be limited to your actual direct damages, not to exceed the amounts actually paid by you to IA for Client-Submitted Content during the twelve months immediately preceding the month in which the cause of action arose. IN NO EVENT SHALL IA HAVE ANY LIABILITY TO YOU FOR ANY CLAIMS OR DEMANDS OF THIRD PARTIES OR ANY LOST PROFITS, LOSS OF BUSINESS, LOSS OF USE, LOST SAVINGS OR OTHER CONSEQUENTIAL, SPECIAL, INCIDENTAL, INDIRECT, EXEMPLARY OR PUNITIVE DAMAGES, EVEN IF A...
Signature of Client representative: -………………………………………………………………………….
Signature of Client. Date: Name of Student: Signature of Student: Date:

Examples of Signature of Client in a sentence

  • Client Name (please print) Signature of Client (or authorized representative) Date I understand that I am financially responsible to Therapist for all charges, including unpaid charges by my insurance company or any other third-party payor.

  • Date Signature of Client Printed Name Date Signature of Client Printed Name As a therapist, I have discussed the above issues with my client.

  • Print Client #1 Name Signature of Client #1(or authorized representative) Date Print Client #2 Name Signature of Client #2 Date (or authorized representative) CONSENT FOR TREATMENT OF A MINOR #1 (for Clients under 18 years of age) As the legal guardian of : , I agree, consent that my child (named above) may participate in counseling/psychotherapy with Xxxxx Xxxxx, LMFT.

  • Date Signature of Client Printed Name Date Signature of Client Printed Name I also acknowledge I have received or been offered a copy of Notice of Privacy Practices and know that my therapist abides by the requirements of a HIPAA provider.

  • AGREEMENT FOR SERVICE/INFORMED CONSENT SIGNATURE PAGE: Client Name (Please Print) Signature of Client (or authorized Representative) Date Name of Responsible Party (if other than client) please print.

  • Signature of Client Date: Printed Name of Client I, Xxxxxxx Xxxxx LCSW, have discussed the issues above with the client (and/or his or her parent or guardian).

  • Signature of Client Date Client Name (please print) Social Security Number Signature of Client Date Client Name (please print) Social Security Number Note: Credit Dusters is the name of the company providing credit repair services to you, the client.

  • Client Name (please print) Signature of Client, Parent, or legal guardian Date CLINICAL RECORD FORM Please list the name, date of birth, age, and relationships of each therapy participant.

  • Date Signature of Client Printed Name I also acknowledge I have received or been offered a copy of Xxxxxx Xxxxxx'x Notice of Privacy Practices and know that she abides by the requirements of a HIPAA provider.

  • Signature of Client: Date: DOB: Signature of Parent/Guardian: Court Fee Agreement Sheet *** THIS FORM MUST BE COMPLETED FULLY BY ALL CLIENTS EVEN IF YOU DO NOT FORSEE COURT AS A POSSIBILITY IN YOUR SITUATION.*** By signing this sheet the client acknowledges that they understand the following expectations and itemized fees: INITIAL EACH The fees for court preparation and appearance are set regardless of insurance co-pay or adjusted fee.


More Definitions of Signature of Client

Signature of Client. Date: Print name of Client:
Signature of Client. Date: Signature of Makeup Artist: Date: Please feel free to contact me with any questions or concerns you may have. Mari Marry Makeup Artist : Xxxxx Xxxx
Signature of Client. Date: ________/_______/_________ Signature of Nominee: ________________________________________ Date: ________/_______/__________ I confirm that this agreement has been explained to the person receiving the services and that they agree. Signature of Service Provider: ___________________________________ Date: ________/_______/__________ Table of Services Select Service Name of Service Support Item No: NDIS Support Item Name (Name of Service) Price Hours Frequency How often will the Service be provided Example Yes Yard Maintenance 01_019_0120_1_1 Performing essential house and/or yard activities $49.30 2 Monthly Yard Maintenance 01_019_0120_1_1 Performing essential house and/or yard activities $49.30 Cleaning 01_020_0120_1_1 House Cleaning and Other Household Activities $50.20 Assistance with Daily Tasks 01_011_0107_1_1 Assistance with Self-Care Activities - Standard - Weekday Daytime $55.47 Community Participation 04_104_0125_6_1 Access Community, Social and Rec Activities - Standard - Weekday Daytime $55.47 Fill in your specifics here if unlisted Right click on this line and insert rows below or remove lines as necessary
Signature of Client. Date: Signature of Makeup Artist: Date: Please feel free to contact me with any questions or concerns you may have. Xxxx Xxxxx Makeup Artist : Xxxxx Xxxx

Related to Signature of Client

  • 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: Employer Signature: Date:

  • 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.

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

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

  • Witness Signature Witness name: Address: Occupation:

  • The Client means the organization purchasing the service.

  • Contract Signature Page(s) means the State of Utah cover page(s) that the State Entity and Contractor sign.

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

  • Information Recipient has the meaning stated in Section 4.9(a).

  • 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.

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

  • Identification sign means a sign whose copy is limited to the name and address of a building, institution, or person and/or to the activity or occupation being identified.

  • Authorized Personnel means the employees of the Licensee and personnel from third parties who work on behalf of the Licensee under a contract (which shall include confidentiality clause) entered into and between the Licensee and the third party.

  • Business Associate means the Contractor.

  • Customer Confidential Information means any information or compilation of information, not generally known, which is provided to the Employer by its customers or potential customers, is proprietary to the customer or potential customer and relates to the customer’s or potential customer’s existing or reasonably foreseeable business. Information provided to the Employer by a customer or potential customer shall be treated as Customer Confidential Information.

  • Signing means the signing by the Parties of this Agreement;

  • 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;

  • Authorized Persons means such officers or such agents of a Fund as have been properly appointed pursuant to a resolution of the appropriate Board or Executive Committee, a certified copy of which has been provided to the Custodian, to act on behalf of the Fund under this Agreement. Each of such persons shall continue to be an Authorized Person until such time as the Custodian receives Proper Instructions that any such officer or agent is no longer an Authorized Person.

  • Authority's Confidential Information means all Personal Data and any information, however it is conveyed, that relates to the business, affairs, developments, trade secrets, know-how, personnel, and suppliers of the Authority, including all IPRs, together with all information derived from any of the above, and any other information clearly designated as being confidential (whether or not it is marked "confidential") or which ought reasonably be considered to be confidential;

  • Business Confidential Information has the meaning set forth in Section 5.04(a).

  • Proprietary and Confidential Information means trade secrets, confidential knowledge, data or any other proprietary or confidential information of the Company or any of its affiliates, or of any customers, members, employees or directors of any of such entities, but shall not include any information that (i) was publicly known and made generally available in the public domain prior to the time of disclosure to Executive by the Company or (ii) becomes publicly known and made generally available after disclosure to Executive by the Company other than as a result of a disclosure by Executive in violation of this Agreement. By way of illustration but not limitation, “Proprietary and Confidential Information” includes: (i) trade secrets, documents, memoranda, reports, files, correspondence, lists and other written and graphic records affecting or relating to any such entity’s business; (ii) confidential marketing information including without limitation marketing strategies, customer and client names and requirements, services, prices, margins and costs; (iii) confidential financial information; (iv) personnel information (including without limitation employee compensation); and (v) other confidential business information.

  • Supplier's Confidential Information means any information, however it is conveyed, that relates to the business, affairs, developments, trade secrets, Know-How, personnel and suppliers of the Supplier, including IPRs, together with information derived from the above, and any other information clearly designated as being confidential (whether or not it is marked as "confidential") or which ought reasonably to be considered to be confidential;

  • State Confidential Information means any and all State Records not subject to disclosure under CORA. State Confidential Information shall include, but is not limited to, PII, PHI, PCI, Tax Information, CJI, and State personnel records not subject to disclosure under CORA. State Confidential Information shall not include information or data concerning individuals that is not deemed confidential but nevertheless belongs to the State, which has been communicated, furnished, or disclosed by the State to Contractor which (i) is subject to disclosure pursuant to CORA; (ii) is already known to Contractor without restrictions at the time of its disclosure to Contractor; (iii) is or subsequently becomes publicly available without breach of any obligation owed by Contractor to the State; (iv) is disclosed to Contractor, without confidentiality obligations, by a third party who has the right to disclose such information; or (v) was independently developed without reliance on any State Confidential Information.

  • Business Contact Information means the names, mailing addresses, email addresses, and phone numbers of a party’s personnel, officers and directors and, with respect to Client, such information regarding Client’s vendors and customers that Accenture may have access to in maintaining the parties’ business relationship.

  • Authorized Users means an individual or individuals with an authorized business requirement to access DSHS Confidential Information.