Read and sign Sample Clauses

Read and sign the certification in Item 4 to prove your eligibility to participate in the Rights Offering.
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Read and sign the certification in Item 5 certifying that either (i) certifying that you are NOT an “Accredited Investor” AND are NOT a Non-U.S. Person xxxxx (ii) you are an “Accredited Investor” or Non-U.S. Person, but have declined to participate in the Rights Offeringelecting the form of Substitute Distribution. 6 8.625% SENIOR NOTES DUE 2020 AND/OR 7.875% SENIOR NOTES DUE 2022
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Read and sign. I acknowledge the contents of the current License and Use Agreement and agree to comply with its terms and conditions. A current License and Use Agreement is available Online or at all PIKEPASS Stores / Agents. PIKEPASS is a mark owned by the OTA and is not affiliated with Fine Airport Parking. Tulsa County Chairman, Board of County Commissioners 5/24/2024 Responsible Party (Print) Signature Title (Commercial Accounts Only) Date Signed SECTION 2 - TYPE OF ACCOUNT Personal / Commuter Commercial Government # PIKEPASSes REQUESTED:
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Read and sign. Both I and my dependent(s) am/are physically and mentally able to participate in Manuia Polynesian Revue’s classes, performances, activities and rehearsals and I assume the risk for any injury related to our participation. I agree to indemnify and hold harmless Manuia Polynesian Revue, its Board, Members or Volunteers of any injury or incident including liability for negligence. I HAVE CAREFULLY READ THIS AGREEMENT AND UNDERSTAND IT TO BE A RELEASE OF ALL CAIMS AND CAUSES OF ACTION FOR MY INJURY OR DAMAGE TO MY PROPERTY THAT OCCURS WHILE PARTICIPATING IN THE DESCRIBED ACTIVITY. BY SIGNING THIS, I HAVE ACKNOWLEDGED THAT I HAVE READ AND AGREE WITH THE CONTRACT STATED ABOVE. X (PRINT) Member Name or Parent/Guardian Name Signature Date Address City, State Zip Telephone number(s) E-mail address Member Date of Birth Dependent: Minor Member Name Date of birth EMERGENCY CONTACT Telephone #1 Telephone #2 AUTHORIZATION FOR MEMBERSHIP DUES DEDUCTIONS I hereby authorize Manuia Polynesian Revue to deduct monthly membership dues from my financial institution debit/credit card or checking account (provide “VOID” check).
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Read and sign. Both I and my dependent(s) am/are physically and mentally able to participate in Manuia Polynesian Revue’s classes, performances, activities and rehearsals and I assume the risk for any injury related to our participation. I agree to indemnify and hold harmless Manuia Polynesian Revue, its Board, Members or Volunteers of any injury or incident including liability for negligence. I HAVE CAREFULLY READ THIS AGREEMENT AND UNDERSTAND IT TO BE A RELEASE OF ALL CAIMS AND CAUSES OF ACTION FOR MY INJURY OR DAMAGE TO MY PROPERTY THAT OCCURS WHILE PARTICIPATING IN THE DESCRIBED ACTIVITY. BY SIGNING THIS, I HAVE ACKNOWLEDGED THAT I HAVE READ AND AGREE WITH THE CONTRACT STATED ABOVE. X (PRINT) Member Name or Parent/Guardian Name Signature Date Address City, State Zip Telephone number(s) Dependent (please list below): E-mail address Member Date of Birth Minor Member Name Date of birth EMERGENCY CONTACT Telephone #1 Telephone #2 AUTHORIZATION FORM FOR MEMBERSHIP DUES DEDUCTIONS I hereby authorize Manuia Polynesian Revue to deduct the monthly membership dues from my financial institution each month. ❑ Checking Account: Please attach a voided check ⎡* *⎤ A t t a c h V o i d e d C h e c k H e r e ⎣* *⎦ Non-refundable monthly dues of $42 for each member (student, performer, musician, drummer) will be deducted on the first (1st) day of each month by Xxxxxx Xxxxxxxxxx Revue. Upon enrollment, a one-time $50 initial non-refundable membership fee will be deducted in addition to the monthly dues. To stop monthly auto debit, I agree to provide Manuia Polynesian Revue 30 days written notice. Failure to pay any membership dues may be grounds for termination of membership from Manuia Polynesian Revue. Member or Parent/Guardian (if member under 18 years) Dependent Member Name (if under 18 years) X Member or Parent/Guardian Signature Date MANUIA POLYNESIAN REVUE Xxxxx Xxxxxxxxxxx, Director 00 Xxxxxx Xxxxx San Francisco, CA 94132 Phone/Fax: (000) 000-0000 Email: Xxxxxx00@xxxxx.xxx Web Address: xxx.xxxxxxxxxxxxxxx.xxx 2008 TAHITI FETE COMPETITION TERMS & AGREEMENT ⬩ My participation in the 2008 Tahiti Fete will require my dedication, time, effort, financial support & full commitment. ⬩ I will support the decisions that the Director and Board Members of Xxxxxx make regarding the Fete and acknowledge that the decisions made are for the benefit of the group. ⬩ I understand that participation in the Fete also requires a financial commitment; therefore; I will pay for required costume parts a...
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Related to Read and sign

  • Authorized Signature Your signature on the Account Card authorizes your account access. We will not be liable for refusing to honor any item or instruction if we believe the signature is not genuine. If you have authorized the use of a facsimile signature, we may honor any check or draft that appears to bear your facsimile signature even if it was made by an unauthorized person. You authorize us to honor transactions initiated by a third person to whom you have given your account number even if you do not authorize a particular transaction.

  • Authorised Signatories The Authority shall require the Independent Engineer to designate and notify to the Authority and the Concessionaire up to 2 (two) persons employed in its firm to sign for and on behalf of the Independent Engineer, and any communication or document required to be signed by the Independent Engineer shall be valid and effective only if signed by any of the designated persons; provided that the Independent Engineer may, by notice in writing, substitute any of the designated persons by any of its employees.

  • INITIALS GMO". The Manager owns the initials "GMO" which may be used by the Trust only with the consent of the Manager. The Manager consents to the use by the Trust of the name "GMO Trust" or any other name embodying the initials "GMO", in such forms as the Manager shall in writing approve, but only on condition and so long as (i) this Contract shall remain in full force and (ii) the Trust shall fully perform, fulfill and comply with all provisions of this Contract expressed herein to be performed, fulfilled or complied with by it. No such name shall be used by the Trust at any time or in any place or for any purposes or under any conditions except as in this section provided. The foregoing authorization by the Manager to the Trust to use said initials as part of a business or name is not exclusive of the right of the Manager itself to use, or to authorize others to use, the same; the Trust acknowledges and agrees that as between the Manager and the Trust, the Manager has the exclusive right so to authorize others to use the same; the Trust acknowledges and agrees that as between the Manager and the Trust, the Manager has the exclusive right so to use, or authorize others to use, said initials and the Trust agrees to take such action as may reasonably be requested by the Manager to give full effect to the provisions of this section (including, without limitation, consenting to such use of said initials). Without limiting the generality of the foregoing, the Trust agrees that, upon any termination of this Contract by either party or upon the violation of any of its provisions by the Trust, the Trust will, at the request of the Manager made within six months after the Manager has knowledge of such termination or violation, use its best efforts to change the name of the Trust so as to eliminate all reference, if any, to the initials "GMO" and will not thereafter transact any business in a name containing the initials "GMO" in any form or combination whatsoever, or designate itself as the same entity as or successor to an entity of such name, or otherwise use the initials "GMO" or any other reference to the Manager. Such covenants on the part of the Trust shall be binding upon it, its trustees, officers, stockholders, creditors and all other persons claiming under or through it.

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