PLEASE PRINT CLEARLY definition

PLEASE PRINT CLEARLY. Card #: Monthly Cardholder’s Name: Address: Email: Email Reminder: YES NO Employer: Work Phone: Home Phone: Cell Phone: Account Payment Information: Billing Name: Billing Address: Billing Phone: Billing Contact: Vehicle Information: Make/Model: Year: Plate #/State: Color: Make/Model: Year: Plate #/State: Color: Make/Model: Year: Plate #/State: Color: Make/Model: Year: Plate #/State: Color: MONTHLY CARDHOLDER OR ITS REPRESENTATIVE HEREBY AGREES TO ALL TERMS AND CONDITIONS. Monthly Cardholder’s Signature: Date:

PLEASE PRINT CLEARLY. (For mailing and billing purposes) Grade in Fall 2017: DOB: Student lives with: □ Both parents □ Father □ Mother □ Grandparent(s) □ Guardian Parent/ Parent/ Guardian Guardian COMPLIANCE POLICY I/We, the undersigned, do hereby agree to comply with all policies and regulations of the Diocese of San Diego and Holy Family School. I/We have read and agree to abide by all the terms and commitments of this Enrollment Agreement and Policies. I/We understand that my/our family’s compliance with this agreement will be reviewed annually to determine eligibility for enrollment for the subsequent year. Failure to abide by the terms of this agreement may result in our student(s) not being invited back to the school. Address Address City ZIP City ZIP Home # Cell # Home # Cell # Email: Email: PROGRAM SELECTION AND TUITION RATE: Please refer to the attached Program and Rate information □ 5E $6770 per yr/$677 per month □ 5R $5775 per yr/$577.50 per month METHOD OF PAYMENT: □ 3E $5775 per yr/$577.50 per month □ 3R $5115 per yr/$511.50 per month □ 2E $4450 per yr/$445 per month □ 2R $4015 per yr/$401.50 per month □ 1 full payment (Due by 8/1/2017) Please select payment due date: □ 2 semi-­‐annual payments (Due by 8/1/2017 and 1/1/2018) □ 1st of the month □ 6th of the month □ 10 equal monthly payments (Due each month August 2017 – May 2018) □ 10th of the month □ 15th of the month Father/Guardian Name -­‐ Please Print Mother/Guardian Name -­‐ Please Print Father/Guardian Signature Date Mother/Guardian Signature Date Please return this original form with the family registration payment to the HOLY FAMILY SCHOOL office. FINANCIAL COMMITMENT The financial commitment is comprised of a family registration payment and tuition payments. FAMILY REGISTRATION PAYMENT: In order to secure a position in the 2017-­‐2018 School Year, the registration payment is due at the time of registration. Early payment is vital to the planning for our 2017-­‐2018 school year and therefore necessary with your registration paperwork. If at any time prior to the 1st day of the 2017-­‐2018 school year, your family makes the decision not to enroll for the 2017-­‐2018 school year, the registration fee will be refunded in full per the family’s request. The registration fee includes the follow: SMART Tuition yearly fee/Initial Fee, consumables, snacks, supplies, etc. Paid on or before Paid after 5/1/2017 5/2/2017 $175 $225 TUITION: Program and Fee Schedule Code Program Schedule Yearly Tuition Per Month (10 mos) ...

PLEASE PRINT CLEARLY. Property Address: City: ZIP: Active Date: Listings entered into the MLS with “Coming Soon” status automatically transitions to “Active” status on the “Active Date” or 21 days, whichever comes first. / / MM DD YYYY While in “Coming Soon” status: The seller(s) acknowledge that their property will not be available for showings to prospective buyers. Their property information will be available to all Space Coast MLS Participants and Subscribers. MLS Participants and Subscribers will be permitted to share your listing information with their prospective buyers but cannot schedule showings of your property until the listing becomes “Active” in the MLS. “Coming Soon” status listings are NOT syndicated to third party internet sites by the MLS and are NOT included in MLS advertising data feeds. Seller(s) acknowledges and understands that consumers who conduct searches on the Internet may NOT see information about their property in response to an internet search. Showings of Property: The Seller(s) acknowledge that as soon as the property is ready for showings to begin, the Listing Agent MUST change the listing status in the MLS to “Active”. If at any time during the “Coming Soon” time frame the seller agrees to allow the property to be shown, the Listing Broker MUST change the status of the listing to active prior to any showings. Days on Market (DOM) begins when the listing transitions to “Active” status. Once the listing transitions from “Coming Soon” to “Active” status, it cannot revert back to “Coming Soon” status. Seller(s) Initials Seller Signature: Seller Signature: Listing Agent Signature: Listing Broker Signature: (required) Listing Brokerage Firm:

Examples of PLEASE PRINT CLEARLY in a sentence

• SAMPLE CLIENT APPLICATION {CONTRACTOR LETTERHEAD} SAMPLE Application for Senior Non-Emergency Medical Transportation Program PLEASE PRINT CLEARLY.

• Sex 3) Telephone Number4) Home Address (House Number, Street, Apartment Number, City, and Zip Code) PLEASE PRINT CLEARLY USING BLUE OR BLACK INK ONLY.

• PLEASE PRINT CLEARLY IN BLOCK LETTERSSHAREHOLDER REGISTRATION (Please provide the name in which your shares are currently registered) Street Address CityProv/StatePostal/Zip Code Country (if not Canada or the USA)Email Address If this is an Address Change, please check the box below and provide your former address.

• PLEASE PRINT CLEARLY) To be completed by the student receiving the scholarship.NOTE It is the responsibility of the student to ensure that the required fields are completed to avoid delay in processing payment.

• PLEASE PRINT CLEARLY IN BLUE INK AND RETURN ORIGINAL SIGNED FORM TO THE NEBS OFFICE.

• NICKNAMES PERMITTED YEAR of Birth MEMBER ASSOCIATE JUNIOR #1 JUNIOR #2 JUNIOR #3 JUNIOR #4 APPLICATION FOR MEMBERSHIP: PLEASE PRINT CLEARLY AND LEGIBLYMembership Information Privacy Policy: Except as required by State or Federal law only members of the Board of Directors have access to the information contained in the A.R.C. application for membership.

• PLEASE PRINT CLEARLY: Athletes Full Legal Name: Birth Date: First Full Middle Last Month Day Year USA Swimming Reg.

• NAME OF COMPANY: By: SIGNATURE Name: PLEASE PRINT CLEARLY OR TYPE Title: PLEASE PRINT CLEARLY OR TYPE Date: The undersigned hereby agrees to accept service of process in connection with any disputes or notices arising under any collective bargaining agreement: 2.

• NAME OF APPOINTED AGENT: PLEASE PRINT CLEARLY OR TYPE Company/Law Firm (if applicable): Address: NO P.O. BOXES OR EQUIVALENT Phone: Email: 3.

• Hickory Ave.‌New Braunfels, Texas 78130 Office 830-627-7006 Fax 830-627-7007 CLIENT INFORMATION – ADULT PLEASE PRINT CLEARLY DATE NAME DOB AGE SEX ADDRESS CITY & STATE ZIP [ ] SINGLE [ ] MARRIED [ ] SEPARATED [ ] WIDOWED [ ] DIVORCED HOME PHONE BUSINESS PHONE CELL PHONE EMAIL OCCUPATION SPOUSE’S NAME HOME PHONE BUSINESS PHONE CELL PHONE _ OCCUPATION REFERRED BY PHONE My therapist, has my permission to contact_ to thank him/her for referring me to the Oakwood Baptist Counseling Center.

More Definitions of PLEASE PRINT CLEARLY

PLEASE PRINT CLEARLY. PURCHASER: Name: Address: Signature: Email address: Telephone: Date: CONFIDENTIALITY AGREEMENT This CONFIDENTIALITY AGREEMENT (this “Agreement”) is made and agreed to as of the day of , 2021 by and between (the “Recipient”) an whose address is and Managing member of 22 buildings 505 Units located in the West End of Hartford and West Hartford .

PLEASE PRINT CLEARLY. YOU MUST SHOW YOUR ACADIA ID CARD LAST NAME FIRST NAME AU ID BARCODE # LOCAL PHONE #(Mandatory) EMAIL SIGNATURES: You must be 19 or over to sign. (Initial here) I hereby accept the terms of this contract. This document constitutes the final and entire agreement between Acadia University and the undersigned. (Initial here) I have carefully read this agreement and release of liability and fully understand its contents. I am aware that this is a release of liability and a contract between myself and Acadia University.

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 priminay beneficiaries predecease you. 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. Name: Xxxxxxx X. Xxxxxxxx Date : Aug 21, 2004 Signature: /s/ Xxxxxxx X. Xxxxxxxx SPOUSAL CONSENT (Required if Spouse not named beneficiary): I consent to the beneficiary designation above, and acknowledge that if I am named beneficiary and our marriage is subsequently dissolved, the designation will be automatically revoked. Spouse Name: Signature: Date: Received by the Plan Administrator this day of , 20 By: Title: Plan Year Reporting Schedule A Xxxxxxx X. Xxxxxxxx DOB: 6/11/1947 Plan Anniv Date: 1/1/2005 Early Involuntary Termination Disability Change of Control Normal Retirement: 7/7/2012, Age 65 Payment: Monthly Installment Lump Sum Payable Immediately Lump Sum Payable Immediately Installment Payable at 65 Period Discount Benefit Level Accrual Balance Vesting Based On Accrual Vesting Based On Accrual Vesting Based On Benefit Ending Rate (1) (2) (3) (4) (5) (6) (7) (8) Dec 2004 (1) 6.5 % 75,000 50,550 11.11 % 5,616 100 % 50,550 100 % 75,000