SIGNATURE OF ACCEPTANCE. By signing this sponsorship application, you confirm you have read the terms and conditions of the contract.
SIGNATURE OF ACCEPTANCE. As the person submitting this application form, you represent and warrant that you have the authority to provide the information required and to submit this application and the list disclaimers. The statements provided in this application and in the attached documents are true and complete to the best of my knowledge. I also understand that information submitted in the application will be treated as commercial in confidence by Mimaki Engineering Co. Ltd., Mimaki USA Inc. and that my providing inaccurate and / or false information may be grounds for Mimaki to terminate any future business arrangements. I acknowledge that if this application is approved that I will need to sign and initial all attached and relevant Addendums. Distribution of this document to unauthorized parties is strictly prohibited and is a violation of Mimaki confidentiality. INTENDING TO BE LEGALLY BOUND, the parties hereto have executed this Agreement on the date first written above. Mimaki USA End User: Signature: Signature: Print Name: Print Name: Title: Title:
SIGNATURE OF ACCEPTANCE. Pages 1 & 2 of this application need to be completed and returned to the Minnesota District Council (0000 Xxxxxxxx Xxx X, Xxxxxxxxxxx, XX 00000). A representative of the Minnesota District Council will then sign and return a copy of the agreement to the group upon approval. This application does not constitute a commitment by The Xxxxx at Lake Placid until such written approval has been extended. As a contact person, I understand and accept the conditions of this contract on behalf of the user group. I accept responsibility for explaining the fees to the participants and seeing The Xxxxx at Lake Placid receives full payment. I have copies of all pages of this agreement and accept the conditions listed. LESSEE LESSOR Organization: Name (Printed): Signature: Title/Role: Date: Minnesota District Council Assemblies of God Name (Printed): Signature: Title/Role: Date: FOR OFFICE USE ONLY Date: Check Number: Amount: FACILITY CHECKLIST Instructions: Do not send this form in with registration—bring it with you. Complete Part I upon arrival. This will be your account if something is out of order and you will not be held responsible. Please bring it to the attention of the Camp Representative immediately. Before leaving, please make sure the facilities are clean and in good/working order – use the checklist below. Complete Part II when leaving. Please sign this form and give it to the Camp Representative. If the Camp Representative is not available, please place form in sight on the kitchen counter. Thank you.
SIGNATURE OF ACCEPTANCE. By signing this sponsorship application, you confirm you have read the terms and conditions of the contract. Check: Please mail check to: Air & Waste Management Association, 000 Xxxxxxx Xxxxxx, Xxxxx 0000, Xxxxxxxxxx, XX 00000. Credit Card: American Express Visa Mastercard Discover Card Number Expiration CCV (3 digit) Code Name as it appears on card Billing Address Signed by Title Email
SIGNATURE OF ACCEPTANCE. By signing this sponsorship application, you confirm you have read the terms and conditions of the contract. LIST OF SPONSORSHIPS General Sponsor: $5,000 $ Gold Sponsor: $3,000 $ Silver Sponsor: $1,900 $ Bronze Sponsor: $1,000 $_ Tabletop Display*: $1,350 $_ * Does not confer event sponsorship Total: $ Among General, Gold, and Silver Sponsor benefits is a Tabletop Display in the Exhibit Area. Are you interested in reserving a table? Yes No PAYMENT INFORMATION Check: Payable to Air & Waste Management Association. Please mail check to: A&WMA, Attn: Accounts Receivable, 000 Xxxxxxx Xxxxxx, Xxxxx 0000, Xxxxxxxxxx, XX 00000. Please charge the following credit card: American Express Visa Mastercard Discover Name on card Billing Address Card # Expiration Date CCV Security code Signature Title Date Email A&WMA’s Air Quality Models Conference | Terms and Conditions - Page 2 PARTIES. Air & Waste Management Association (“Association”) agrees to confer a sponsorship and/or lease exhibit space in the form of a tabletop exhibit display as described in this contract to the individual(s) or company named herein ("Sponsor") and-or (“Exhibitor”).
SIGNATURE OF ACCEPTANCE. Pricing is subject to change at Ventyx’s sole discretion if not accepted by Xxxxxxxx and returned to Ventyx on or before October 31, 2014. CITY OF ANAHEIM, a Municipal Corporation VENTYX INC. Signature: Signature: By: Xxxxx Xxx Printed Name: Title: Public Utilities General Manager Title: Date: Date: VENTYX INC. Signature: Printed Name: Title: Date:
SIGNATURE OF ACCEPTANCE. By signing this sponsorship application, you confirm you have read the terms and conditions of the contract. Note: Terms and Conditions continue on Page 2 of this Sponsorship Agreement. PAYMENT INFORMATION Check: Payable to Air & Waste Management Association. Please mail check to: A&WMA, Attn: Accounts Receivable, 000 Xxxxxxx Xxxxxx, Xxxxx 0000, Xxxxxxxxxx, XX 00000. Please charge the following credit card: American Express Visa Mastercard Discover Name on card Billing Address Card # Expiration Date CCV Security code Signature Title Rev. 20210909 Date Email Electric Power Transformation 2021 Virtual Conference - Terms and Conditions | Page 2 PARTIES. Air & Waste Management Association (“Association”) agrees to sell a Sponsorship as described in this contract to the organization named herein ("Sponsor").
SIGNATURE OF ACCEPTANCE. By signing this sponsorship application, you confirm you have read the terms and conditions of the contract. Note: Terms and Conditions continue on Page 2 of this Sponsorship Agreement PAYMENT INFORMATION Check: Payable to Air & Waste Management Association. Please mail check to: A&WMA, Attn: Accounts Receivable, 000 Xxxxxxx Xxxxxx, Xxxxx 0000, Xxxxxxxxxx, XX 00000. Please charge the following credit card: American Express Visa Mastercard Discover Name on card Billing Address Card # Expiration Date CCV Security code Signature Title Date Email Information Exchange 2020 - Terms and Conditions | Page 2 PARTIES. Air & Waste Management Association (“Association”) agrees to confer a Sponsorship as described in this contract to the organization named herein ("Sponsor").
SIGNATURE OF ACCEPTANCE. I (or we) understand, agree and accept the conditions of this tenancy agreement and I (or we) confirm that the information given in the housing application form and any information given to obtain this tenancy was and still is true. 1………………………………………………………………………………… 2………………………………………………………………………………… 3………………………………………………………………………………… 4………………………………………………………………………………… Signed on behalf of West Lancashire Borough Council ………………………………………………………………………………….. Date…………………………………………………………………………….. The information you have given on this Tenancy Agreement will be held on a computer system registered under the Data Protection Act. We must protect public funds and so we may use the information you have provided to prevent and detect fraud. We may also share this information, for the same purposes, with other organisations that handle public funds. We may use certain information from this Tenancy Agreement in connection with your Council Tax account and Council rent account or payment of utilities. If there is anything you don’t understand in this Tenancy Agreement, please ask a housing officer. You can also get help from a Citizens Advice Bureau, law centre or a solicitor. National Fraud Initiative (NFI) This authority is under a duty to protect the public funds it administers, and to this end may use the information you have provided for the prevention and detection of fraud. It may also share this information with other bodies responsible for auditing or administering public funds for these purposes. For further information, see xxx.xxxxxxxxx.xxx.xx/xxx We can provide this information on audiotape, CD, large print, Braille, and in other languages as appropriate on request. Visit our website xxx.xxxxxxxxx.xxx.xx/xxxxxx or telephone 00000 000000 Wszystkie te informacje możemy przekazać na życzenie w formacie audio, na płycie CD, w wersji zapisanej dużym drukiem lub alfabetem Braille’a, bądź też przetłumaczonej na wymagany język. Zapraszamy na stronę xxx.xxxxxxxxx.xxx.xx/xxxxxx lub prosimy o kontakt telefoniczny pod nr 01695 577177.
SIGNATURE OF ACCEPTANCE. Date: ------------------------------ ---------------------
