Cardholder’s Signature Sample Clauses

Cardholder’s Signature. I understand that the Card is monitored and it is to be used for authorized and official purchases only according to the Entity with which I am employed and the Office of Purchasing, Travel and Fleet Management’s policies. I agree that use of this account if approved will be in compliance with the Travel Card Program rules and regulations as set forth by the Office of Purchasing, Travel and Fleet Management, as well as applicable state laws. I agree that the account will not be used for personal purposes at any time and understand that the account use can be revoked at any time. I agree that if this is an individual cardholder account, only my expenses may be charged. I understand that it is my responsibility to notify the Bank, Entity, and Travel Manager if my card is lost or stolen. Cardholder Signature Date SECTION V AUTHORIZATION PARAMETERS – Select one of the below credit limits ❒ Monthly Credit $ 30,000 Single Transaction Limit $ ❒ Monthly Credit Limit $20,000 Single Transaction Limit $ ❒ Monthly Credit Limit $10,000 Single Transaction Limit $ ❒ Monthly Credit Limit $5,000 Single Transaction Limit $ ❒ Monthly Credit $1,000 Single Transaction Limit $ ❒ Monthly Credit $500 Single Transaction Limit $ ❒ Monthly Credit $100 Single Transaction Limit $ ❒ Monthly Credit $ Single Transaction Limit $ SECTION VI ENTITY PROGRAM COORDINATOR’S SIGNATURE AND TELEPHONE NUMBER Approving Entity Program Coordinator’s Name (printed) Approving Entity Program Coordinator’s Signature Date Revised 02/25/14

Cardholder’s Signature. Date: If you wish to obtain a receipt, please check appropriate item below: o Yes, please email my receipt to: o No, a receipt is not necessary. OFFICE USE ONLY Received date: Received by:

Cardholder’s Signature. In relation to this addendum of the Handling, Use and Storage Agreement entered into by and between CAN-AM Cryoservices Corp. (“CAN-AM Cryoservices”) and the individual(s) below (“Client/Storage Depositor(s)”), at Hamilton, Ontario, Canada it is hereby agreed as follows: (and) , 1st Storage/Client Depositor (LAST NAME, First Name, Initials) 2nd Client Depositor (LAST, First, Initials) if applicable

Cardholder’s Signature. Date..............................

Cardholder’s Signature. Except in the case of internet, telephone or mail orders, a Sales Slip must be signed by the Cardholder for each Credit Card Sale at the time the Credit Card Sale is made and in the presence of an authorized representative or employee of Licensee. The signature on the Sales Slip must be reasonably similar to the signature appearing on the signature panel of the Credit Card. After completion of the Credit Card Sale, Licensee shall provide a legible and completed copy of the Sales Slip to the Cardholder. If Licensee fails to obtain the signature of the Cardholder on the Sales Slip and the Cardholder has not authorized the Credit Card Sale or denies the validity of the Credit Card Sale, the Credit Card Sale shall be subject to Chargeback pursuant to Paragraph 6 below. If the Credit Card has not been signed, Licensee shall ask the Cardholder to sign the Credit Card and verify such signature with the Cardholder's driver's license or other government issued identification before completion of the Credit Card Sale.

Cardholder’s Signature. A Sales Slip must be signed by the Cardholder for each Card Sale at the time the Card Sale is made and in the presence of an authorized representative or employee of Company. The signature on the Sales Slip must be reasonably similar to the signature appearing on the signature panel of the Card. After completion of the Card Sale, Company shall provide a legible and completed copy of the Sales Slip to the Cardholder. If Company fails to obtain the signature of the Cardholder on a Sales Slip and the Cardholder has not authorized the Card Sale or denies the validity of the Card Sale, the Card Sale shall be subject to Chargeback pursuant to paragraph 2.10 below.

Cardholder’s Signature. Please indicate any areas of law in which you are certified and the date of certification: Other states in which you are licensed to practice law: Please tell us how you heard about the Tennessee State Employees Association’s Lawyer Referral and Information Service? Attorney Member Co-Worker Notice Brochure TSEA member TSEA Email Announcements Other

Cardholder’s Signature. Are you a: College Family New Family MOTHER/GUARDIAN *** PLEASE ANSWER ALL QUESTIONS AS THEY ARE A GOVERNMENT REQUIREMENT *** FATHER/GUARDIAN Highest Qualification What is the level of the highest qualification completed? Highest Qualification What is the level of the highest qualification completed? Surname ...................................................................................... First Name ................................................................................... Preferred First Name ................................................................... Surname ...................................................................................... First Name ................................................................................... Preferred First Name ................................................................... Bachelor Degree or above Diploma / Advanced Diploma Certificate I to IV (incl. trade certificate) No non school qualification Bachelor Degree or above Diploma / Advanced Diploma Certificate I to IV (incl. trade certificate) No non school qualification Mobile ............................................ Home ..................................