Please Check Applicable Box Sample Clauses

Please Check Applicable Box. ¨ I am purchasing ____________ shares of the Company’s common stock at a price of $11.50 per share, reflecting the fact that selling commissions and dealer manager fees will not be payable in connection with such purchase, as a participant in the Company’s directed share program.
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Please Check Applicable Box. (If the 3rd box is checked, a detailed explanation of the names and convictions must be attached): x A publicly held corporation; therefore, this reporting requirement is not applicable. Is not owned or operated by anyone who has been convicted of a felony. Is owned or operated by the following individual(s) who has/have been convicted of a felony x Which best describes your company’s position in the distribution channel: Manufacturer Direct Certified education/government reseller Authorized Distributor Manufacturer marketing through reseller Value-added reseller Other: Contact Person Title Company Address City/State/Zip Phone Email Xxxx Xxxxxxx Administrator MyVRSpot, LLC PO Box 272266 Fort Xxxxxxx, CO 80527 888-237-6740 x1002 xxxx@xxxxxxxx.xxx In addition to the current typical unit pricing furnished herein, the Vendor agrees to offer all future product introductions at prices that are proportionate to Contract Pricing. If answer is no, attach a statement detailing how pricing for NCPA participants would be calculated for future product introductions. Yes No Pricing submitted includes the required NCPA administrative fee. The NCPA fee is calculated based on the invoice price to the customer. Yes No List any other cooperative or state contracts currently held or in the process of securing. Please provide the following information about your company: - Company’s official registered name. o MyVRSpot, LLC - Company’s Dun & Bradstreet (D&B) number.
Sample 1
Please Check Applicable Box. (If the 3rd box is checked, a detailed explanation of the names and convictions must be attached): A publicly held corporation; therefore, this reporting requirement is not applicable. Is not owned or operated by anyone who has been convicted of a felony. Is owned or operated by the following individual(s) who has/have been convicted of a felony Which best describes your company’s position in the distribution channel: Manufacturer Direct Certified education/government reseller Authorized Distributor Manufacturer marketing through reseller Value-added reseller Other: Contact Person Title Company Address City/State/Zip Phone Email Xxxxxxxx Xxxxxxx Contract Specialist Sitmatic 0000 Xxxxxx Xxxxxx Fullerton, CA, 92833 (000) 000-0000 xxxxxxxxx@xxxxxxxx.xxx In addition to the current typical unit pricing furnished herein, the Vendor agrees to offer all future product introductions at prices that are proportionate to Contract Pricing. If answer is no, attach a statement detailing how pricing for NCPA participants would be calculated for future product introductions.
Sample 1
Please Check Applicable Box. (If the 3rd box is checked, a detailed explanation of the names and convictions must be attached):
Sample 1
Please Check Applicable Box. (If the 3rd box is checked, a detailed explanation of the names and convictions must be attached): Is not owned or operated by anyone who has been convicted of a felony. Is owned or operated by the following individual(s) who has/have been convicted of a felony Which best describes your company’s position in the distribution channel: Manufacturer Direct Certified education/government reseller Authorized Distributor Manufacturer marketing through reseller Contact Person Title Company Address City/State/Zip Phone Email Xxxxxxxx Xxxxxxx Contract Specialist Sitmatic 0000 Xxxxxx Xxxxxx Fullerton, CA, 92833 (000) 000-0000 xxxxxxxxx@xxxxxxxx.xxx In addition to the current typical unit pricing furnished herein, the Vendor agrees to offer all future product introductions at prices that are proportionate to Contract Pricing. If answer is no, attach a statement detailing how pricing for NCPA participants would be calculated for future product introductions. Yes No Pricing submitted includes the required NCPA administrative fee. The NCPA fee is calculated based on the invoice price to the customer. Yes No List any other cooperative or state contracts currently held or in the process of securing. North Carolina State Contract 51% 6/2023 $80,000 South Carolina State Contract 51% 12/2024 $30,000 Pennsylvania State Contract 50% 4/2024 $30,000
Sample 1
Please Check Applicable Box. (If the 3rd box is checked, a detailed explanation of the names and convictions must be attached): X A publicly held corporation; therefore, this reporting requirement is not applicable. Is not owned or operated by anyone who has been convicted of a felony. Is owned or operated by the following individual(s) who has/have been convicted of a felony Which best describes your company’s position in the distribution channel: Manufacturer Direct Certified education/government reseller X Authorized Distributor Manufacturer marketing through reseller Email Xxxxxxxxx@xxxxx.xxx In addition to the current typical unit pricing furnished herein, the Vendor agrees to offer all future product introductions at prices that are proportionate to Contract Pricing. If answer is no, attach a statement detailing how pricing for NCPA participants would be calculated for future product introductions. Yes No Pricing submitted includes the required NCPA administrative fee. The NCPA fee is calculated based on the invoice price to the customer. Yes No List any other cooperative or state contracts currently held or in the process of securing. Please provide the following information about your company: • Company’s official registered name. D&H Distributing Company • Brief history of your company, including the year it was established. D&H Distributing, founded in 1918, has delivered innovation and excellence over the last 105 years as a leader in the North American distribution market, supporting many technology-led industries. Through its powerful culture of trust, as well as its combined private and employee ownership structure, D&H has delivered record-setting growth.
Sample 1
Please Check Applicable Box. 🞏 A publically held corporation; therefore, this reporting requirement is not applicable. 🗷 Is not owned or operated by anyone who has been convicted of a felony. 🞏 Is owned or operated by the following individual(s) who has/have been convicted of a felony KPMG LLP (KPMG or firm) has not been convicted of a crime. To the best of our knowledge, no current partner, principal or employee of the firm has been charged with or convicted of a crime relating to the firm’s business or provision of services to clients. ⮚ If the 3rd box is checked, a detailed explanation of the names and convictions must be attached. Which best describes your company’s position in the distribution channel: Manufacturer Direct Certified education/government reseller Authorized Distributor Manufacturer marketing through reseller Value-added reseller Other: Services Provider Processing Information Provide company contact information for the following: Sales Reports / Accounts Payable Contact Person: Xxxxxxx Xxxx Title: Manager Contracts, West Region Company: _KPMG LLP Address: 000 X. Xxxx Xxxxxx Xxxxx 0000 Xxxx: Xxx Xxxxxxx Xxxxx: Xxxxxxxxxx Zip: 90071 Phone: _ +000 000 0000 Email: xxxxx@XXXX.xxx Purchase Orders Contact Person: Xxxxxxx Xxxx Title: Manager Contracts, West Region Company: _KPMG LLP Address: 000 X. Xxxx Xxxxxx Xxxxx 0000 Xxxx: Xxx Xxxxxxx Xxxxx: Xxxxxxxxxx Zip: 90071 Phone: _ +000 000 0000 Email: xxxxx@XXXX.xxx Sales and Marketing Contact Person: _Xxxxx Xxxxxxx Title: _Managing Director, KPMG Healthcare and Government Solutions Company: _KPMG LLP Address: 000 Xxxxxxx Xxxx Xxxxx 0000 Xxxx: Xxxxxxxxxx Xxxxx: Xxxxxxxxxx Zip: 95814 Phone: _+0 000 000 0000 _ Email: _xxxxxxxxxxxx@XXXX.xxx In addition to the current typical unit pricing furnished herein, the Vendor agrees to offer all future product introductions at prices that are proportionate to Contract Pricing. If answer is no, attach a statement detailing how pricing for NCPA participants would be calculated for future product introductions. 🗷 Yes 🞏 No Pricing submitted includes the required NCPA administrative fee. The NCPA fee is calculated based on the invoice price to the customer. 🗷 Yes 🞏 No Vendor will provide additional discounts for purchase of a guaranteed quantity. 🗷 Yes 🞏 No Tab 4 – Vendor Profile Please provide the following information about your company: Company’s official registered name. Brief history of your company, including the year it was established. KPMG International and its network of Membe...
Sample 1
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Related to Please Check Applicable Box

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  • PLEASE READ CAREFULLY THIS AGREEMENT INCLUDES A RELEASE OF ALL KNOWN AND UNKNOWN CLAIMS.

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  • Credit Check You are authorized, in your discretion, should you for any reason deem it necessary for your protection to request and obtain a consumer credit report for the Customer.

  • Checkoff A. In conformity with Section 2 of the Act, 39 U.S.C. 1205, without cost to the Union, the Employer shall deduct and remit to the Union the regular and periodic Union dues from the pay of employees who are members of the Union, provided that the Employer has received a written assignment which shall be irrevo- cable for a period of not more than one year, from each employee on whose account such deductions are to be made. The Employer agrees to remit to the Union all deductions to which it is entitled fourteen (14) days after the end of the pay period for which such deductions are made. Deductions shall be in such amounts as are designated to the Employer in writing by the Union. B. The authorization of such deductions shall be in the fol- lowing form: I hereby assign to the National Association of Letter Carriers, AFL- CIO, from any salary or wages earned or to be earned by me as your employee (in my present or any future employment by you) such regular and peri- odic membership dues as the Union may certify as due and owing from me, as may be established from time to time by said Union. I authorize and direct you to deduct such amounts from my pay and to remit same to said Union at such times and in such manner as may be agreed upon between you and the Union at any time while this authori- zation is in effect, which includes a $8.00 yearly subscrip- tion to the Postal Record as part of the membership dues. Notice: Contributions or gifts to the National Association of Letter Carriers, AFL-CIO are not tax deductible as charitable contributions for Federal income tax purposes. However, they may be tax deductible under other provi- sions of the Internal Revenue Code. This assignment, authorization and direction shall be irrevocable for a period of one (1) year from the date of delivery hereof to you, and I agree and direct that this assignment, authorization and direction shall be automatically renewed, and shall be irrevocable for suc- cessive periods of one (1) year, unless written notice is given by me to you and the Union not more than twenty

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