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Client Signature. I have read, understand and received a copy of my “Client Agreement.” Date: Sign Here Print Name Here
Client Signature. Date: ……………………. Part T2: Returnable documents
Client Signature. Date.................................................................... Date ...................................................................... On behalf of the firm Name ......................................................................... Signature ...................................................................
Client Signature. Date ……............................... Signed on behalf of firm Signature .....................................................
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Client Signature. You (The Client), agree to be bound by the terms and conditions of this Agreement set out in clauses 1 to 11, which are attached overleaf for your records. Name of Individual 1/Director/Sole Director/ Company Secretary Name of Individual 2/Director/Company Secretary Name of Individual 3/Director Signature Signature Signature 🗶 🗶 🗶 Executed on DD / MM / YYYY Note: When signed under Power of Attorney, the attorney states that they have not received a notice of revocation. Xxxx and Partners requires an originally certified copy of the Power of Attorney to be returned with this Agreement. TO BE COMPLETED BY SHAW Client A/C Number Advisor Code Shaw Signature Date Entered NOMINEE SERVICE AGREEMENT BETWEEN XXXXXX NOMINEES PTY LIMITED of Level 7, Chifley Tower, 0 Xxxxxxx Xxxxxx Xxxxxx XXX 0000 with Australian business number 59 003 207 592 (“XxXxxx Nominees”) AND The Client (“You”) You have directed that XxXxxx Nominees hold cash, shares, units and other financial products (“Financial Products”) on your behalf as bare trustee. XxXxxx Nominees is a wholly owned subsidiary and authorised representative of Xxxx and Partners Limited (“Shaw”). You provide, and XxXxxx Nominees will hold, your Financial Products on your behalf in accordance with regulation 7.6.01(1)(v) of the Corporations Regulation 2001 and the following terms and conditions:
Client Signature. Date: Print Name: Waiver, Medical Power of Attorney, Authorization and Acknowledgements I, the undersigned owner of a dog(s) named , do hereby release, indemnify and forever hold harmless Nottwoweepeetaukee LLC, DBA Pawsitively Perfect, its employees, officers, agents, subcontractors, customers, visitors, and guests from any and all liabilities (including attorney’s fees) arising out of or connected with injuries, illness, loss damage or other harm to myself, my dog(s), my property, and my guests and invitees which arise in any way out of services and /or products provided by or as a consequence of my association with Pawsitively Perfect. I acknowledge that dogs are unpredictable in behavior, and I understand that injuries to my pet, my guests, and myself might reasonably be foreseen to result from my dog’s attendance and participation with Pawsitively Perfect. I am fully aware that Pawsitively Perfect encourages off-leash socialization and interaction of dogs in its custody and care and accordingly I assume any and all risks related to Pawsitively Perfect’s performance of its services, including but not limited to bites, bodily injury, illness and disease, theft, falls, collisions with vehicles, natural disasters and death. I also agree to assume all liabilities, costs, damages, claims and expenses that may occur as a result of my pet’s actions. If, in my absence, my dog should be injured, become ill or suffer an ailment or is otherwise deemed by Pawsitively Perfect to require immediate medical attention, Pawsitively Perfect, in its sole discretion, is authorized to make all health care decisions on my behalf, and may utilize the service of a licensed veterinarian to administer medicine or give other requisite attention to my pet(s) at my sole expense. I hereby indemnify Pawsitively Perfect from any action, claim, demand or lawsuit (including attorney’s fees) arising out of or connected with the charges made by any veterinarian caring for my dog(s). I hereby certify and represent that my dog(s) is in good health and has not been ill with any communicable condition in the last 30 days. I also represent that my pet is current on its’ vaccinations for Rabies, Bordetella, and DHLP-PVO. I further certify that my dog has not harmed or shown aggressive or threatening behavior towards any person or any other dog or animal. I understand that Pawsitively Perfect reserves the right to refuse use of our facilities or to rescind attendance rights for dogs who, in Paws...
Client Signature. My Representative to do Checkout at end of event: Name: Cell phone number: Tallahassee Garden Club Rental Fees Attachment A Event Name: Date: WEEKDAY RATES (Monday thru Thursday) – minimum of 4 hours $ 100.00 per hour X hours = $ WEEKEND RATES Please indicate your selection by initialing below: Friday, Saturday or Sunday 14 Hours $ 1,600.00 Friday or Sunday 8 Hours $ 900.00 HOLIDAYS 14 Hours $ 1,600.00 Holidays Include: MLK BD, Washington’s BD, Memorial Day, Juneteenth, July 4th, Labor Day, Columbus Day, Veteran’s Day, Friday after Thanksgiving, December 24-December 31. Rentals are not available on Thanksgiving Day, December 25th and New Year’s Day. WEDDING REHEARSAL (Monday thru Thursday) 2 Hours $ 200.00 ADDITIONAL HOURS $ 100.00 per hour X hours = $ Late Rental Payment Fee: $100 plus tax Late Proof of Insurance Fee: $100 plus tax SUB-TOTAL $ Late Pick-up Fee - Per Day: $100 plus tax Returned Check Fee: $ 50 plus bank fees MEMBER DISCOUNT % $ ( ) Deposit: $500 Deposit Ret. Date Date Paid Amount:_ SUB-TOTAL $ Check No. Ck. No. Payments: Tax Exempt SALES TAX $ Date: Amt: CertificateAttached TOTAL DUE $ Date: Amt: DEPOSIT: Provide name & address that you would like your Deposit returned to: Name: Address: City: State: Zip CLIENT Initials Page 4 of 7 Tallahassee Garden Club Rules and Regulations Attachment B
Client Signature. Z:\500 MARKETING\Events\Somatology workshop\Winter school\Indemnity Form, Somatology Workshop 2018.doc
