SIGNATURE OF AGREEMENT. This Agreement shall be effective upon the patient's and/or the patient's representative's signature below. Upon such signature, this Agreement shall be deemed to be fully executed and binding upon all parties.
SIGNATURE OF AGREEMENT. This Agreement may be executed in counterparts, each of which when executed shall be deemed to be an original, and such counterparts shall together constitute one and the same instrument. This Agreement may be executed by telecopier and any such signature shall be valid and binding.
SIGNATURE OF AGREEMENT. If I am approved under the Volunteer Health Care Provider Program by the Department, it will be on the truth of the statements contained in this application/protection agreement and related forms. I understand if I provide false information it may nullify the condition of defense and indemnification as provided in 641 Iowa Administrative Code Chapter 88 and it may result in revocation of my eligibility. The INDIVIDUAL VOLUNTEER HEALTH CARE PROVIDER is not protected for volunteer health care services provided prior to the signing of the protection agreement by the Department. Once fully executed, this document serves as the protection agreement between the INDIVIDUAL VOLUNTEER HEALTH CARE PROVIDER and the Department. A fully signed copy will be sent to the INDIVIDUAL VOLUNTEER HEALTH CARE PROVIDER via email or, upon request, by regular mail.
SIGNATURE OF AGREEMENT. I certify I have read, understand and will comply to the above MAP Pricing and to all information stated on the JAWS Dealer Agreement (on back side of this application). The information I have provided as part of this Dealer Agreement is true and correct to the best of my knowledge. Signature Date / /
SIGNATURE OF AGREEMENT. Your signature below indicates that you acknowledge and agree to the provisions set forth above. It also acknowledges that you are responsible for any applicable room and meal charges based upon dates included in this agreement (or on the SRA form).
SIGNATURE OF AGREEMENT. For NZEI Te Riu Roa Dated For Barnardos Dated Notification of Employment Related Problem
SIGNATURE OF AGREEMENT. In consideration of our acceptance of your application to undertake Transactions, you acknowledge that you have carefully read this Agreement, agree to and understand the obligations contained herein and hereby agrees to be legally bound thereby. Authorized Signatory Signature: Name: Date: Company Stamp
SIGNATURE OF AGREEMENT. As per section 1(1)(b)(vi) of the Residential Tenancies Act of New Brunswick, the act does not apply to this agreement or the Resident and their occupation of the premises.
SIGNATURE OF AGREEMENT. 1. Employee's Name 2. Date 3. Employee's Signature
SIGNATURE OF AGREEMENT. I have read, understand and agree to abide by the terms of the items contained in this contract. I understand that this document contains the entire agreement of the parties and shall be binding to the parties signing, as well as their heirs, successors and legal representatives.
