Notice of Right to Rescind. I understand I have the right to rescind (cancel) this Release within fifteen (15) calendar days of the date I sign it. I also understand that, to be effective, my rescission must be in writing, and must be delivered to Xxxxxxxxxxx & Banks’ corporate headquarters (to the attention of the General Counsel) either by hand or mail within the fifteen (15) day period. If delivered by mail, the rescission must be (1) postmarked within the fifteen (15) day period; (2) properly addressed to the General Counsel, 0000 Xxxxxx Xxxx Xxxxx, Xxxxxxxx, Xxxxxxxxx 00000; and (3) sent by certified mail return receipt requested. This Release will be effective upon the expiration of the fifteen (15) day period without rescission. I understand that if I rescind this Release, I will not receive the separation pay and other benefits described in the Severance Agreement and I will be obligated to return any benefit(s) and payment(s), if already received.
Notice of Right to Rescind. Date rescission period begins: You may rescind and terminate your Resident’s Agreement, without penalty or forfeiture, within seven (7) days of the above date. You are not required to move into the continuing care environment before the expiration of this seven (7) day period. No other agreement or statement you sign shall constitute a waiver of your right to rescind your agreement within the seven (7) day period. To rescind your Resident’s Agreement, mail or deliver a signed and dated copy of this notice, or any other dated written notice, letter or telegram, stating your desire to rescind to Willow Valley, 000 Xxxxxx Xxxxxx Xxxxxx, Xxxxxxxxx, XX 00000 not later than midnight of . Pursuant to this notice, I hereby cancel my Resident’s Agreement. DATE PROSPECTIVE RESIDENT’S SIGNATURE
Notice of Right to Rescind. Date rescission period begins . You may rescind and terminate your Residence and Care Agreement without penalty or forfeiture within seven (7) days of the above date. You are not required to move into the continuing care facility (i.e. the Community) before the expiration of this seven (7) day period. No other agreement or statement you sign shall constitute a waiver of your right to rescind your Agreement within this seven (7) day period. To rescind your Residence and Care Agreement, mail or deliver a signed and dated copy of this notice, or any other dated written notice, such as a letter or facsimile, stating your desire to rescind to the following: The Highlands at Wyomissing Office of the President 0000 Xxxxxxxxx Xxxxxx Xxxxxxxxxx, XX 00000-0000 Facsimile: 000-000-0000 Not later than midnight of (last day for rescission) Pursuant to this notice, I hereby cancel my Residence and Care Agreement Date Prospective Resident’s Signature Prospective Resident’s Signature (if more than one Resident) Effective 6/30/09 g:\gac\RC agreement comprehensive 6-30-09 GLOSSARY The following terms used in this Agreement have the meanings set forth below, unless indicated otherwise.
Notice of Right to Rescind. BINDING ARBITRATION CLAUSE Date rescission period begins . You may rescind and terminate the Arbitration Agreement (Agreement) without penalty or forfeiture within thirty (30) days of the above date. No other agreement or statement you sign shall constitute a waiver of your right to rescind the Agreement within this thirty (30) day period. To rescind the Agreement, send via certified mail or hand deliver a signed and dated copy of this notice, or any other dated written notice, letter or telegram, stating your desire to rescind to the following address: Xxxxxx Home East, Inc. d/b/a Roitenberg Family Adult Day Center 000 Xxx Xxxxxx Saint Xxxx, MN 55102 not later than midnight of (last day for rescission). If you are rescinding the Agreement via certified mail, the notice must be post marked within thirty (30) days of the date the rescission period begins. Pursuant to this Notice, I hereby rescind the Agreement regarding binding arbitration with Facility. Dated: Client’s Name Signature of Client Dated: Client’s Legal Representative’s Name Signature of Client’s Legal Representative Roitenberg Family Adult Day Center Participant File Medication Requirements Administering & Self-Administering Participant Name
Notice of Right to Rescind. You are hereby notified of your right to rescind (cancel) this Agreement within fifteen (15) calendar days of the date you sign it. You also understand that, to be effective, your rescission must be in writing, and must be delivered to Xxxxxxxxxxx & Banks' corporate headquarters (to the attention of Xxxx Xxxxxxx) either by hand or mail within the fifteen (15) day period. If delivered by mail, the rescission must be (1) postmarked within the fifteen (15) day period; (2) properly addressed to Xxxx Xxxxxxx, SVP and General Counsel, 0000 Xxxxxx Xxxx Xxxxx, Xxxxxxxx, Xxxxxxxxx 00000; and (3) sent by certified mail return receipt requested. This Agreement will be effective upon the expiration of the fifteen (15) day period without rescission. You understand that if you rescind any part of this Agreement in accordance with this Section, you will not receive the separation pay and other benefits described in this Agreement and you will be obligated to return any benefit(s) and payment(s), if already received.
Notice of Right to Rescind. The release of claims in Section 3 of this Agreement includes, among other things, the release of any claims you have or may have under the federal Age Discrimination in Employment Act. You are hereby notified that, if you sign this Agreement, you will have seven (7) calendar days from the date you sign (not counting the date you sign) to rescind (revoke) your release of your federal Age Discrimination in Employment Act claims. In order to be effective, the rescission must:
