Official Use Only. No Personal Use The Contract is only for official use by Authorized Users. Use of the Contract for personal or private purposes is strictly prohibited.
Official Use Only. Sales Person Code Account Liability Code Corporate Type Worldwide CIF Xxxx Xxx Control Account Name Existing Corporate ID Name of Company Liability Billing Common Anniversary Payment mode Membership Miles Postcode Fax No. Mailing Details: (for remittance advice & other MIS reports) Recipient Name Position Office Address Telephone No. Cardmember Merchant Company Amex Travel Travellers Cheques BTA The Acount Development Manager American Express Global Corporate Payments Dunning AMEX Relationship Other Remarks Approve by
Official Use Only. Unit Processing Instructions
Official Use Only. Credit Card Entered in Rec Trac by: Date: Date: Signature: Exp. Date: Credit Card #: Automatic Credit Card Billing (automatic monthly charge on credit card) Automatic Payment Plan: I agree to make my monthly payment, as stated above, under this contract, by: o Visa o MasterCard o Discover
Official Use Only. □ Age manager Age group………………………………. □Official □Duty roster □ Opt-Out
Official Use Only. By: Approving Authority (Signature) (Print Name)
Official Use Only. The person named below as "Depositor" is herewith depositing, or has previously deposited with the County of San Diego the sum of $ for the initial review (Scoping) of the following application being filed with the County: Said deposit and any subsequent deposits are made on behalf of the person, corporation or partnership named below as the "Financially Responsible Party". With reference to said application and deposits, Depositor and Financially Responsible Party hereby acknowledge and agree as follows:
Official Use Only. I (land owner) , hereby agree to indemnify and hold harmless the following (individual(s), contractor(s) and / or agencies);
Official Use Only. Total Shares…………………………….. Total Loan outstanding………………………….…..… Frequency of loans during the year…………………………….. Amount currently requested Kshs………….…. Net total loans will be Kshs.…....……..….…… Total Shares Kshs…………….............……….. x 3 Kshs……………………………………….. Member’s present net monthly income Kshs…………………. x 0.67 ………..….…..……...… Total monthly repayment (shares and existing loans) to the society including loan requested is Kshs (Must not exceed the amount above {0.67}). The guarantors cover the loan amount. YES/NO. ……………… I certify that the application Is/Is not within the rules of the society. If not, say why? ………………………………………………………………………………………………… Official Signature………………………………………Date………………………….. Indicate the reason for deferral /or rejection by ticking the proper box.
Official Use Only. Tour Time: Guide Initial:
