Sponsor Signature. Seal...................................... Name................................................... Place ..................................
Sponsor Signature. Signature: ------------------------------------------------------ Name and title: Chet Wydrinski, Assixxxxx Xxxx-Xxxsident ------------------------------------------------ Please Print Name of Sponsor: Metropolitan Life Insurance Company --------------------------------------------
Sponsor Signature. Sponsor expressly represents and warrants to Access Intelligence, LLC that it has the authority to enter into this Agreement and that the person signing this Agreement is authorized by the sponsoring company to execute this Agreement and bind the sponsor to the terms set forth herein and on the reverse side of this Agreement. Sponsor has executed this Agreement as of: Date: Sponsor: Print Name: Authorized Signature: 5. Payment Information: ❑ Mastercard ❑ Visa ❑ Amex ❑ Discover Credit Card Number: Exp. Date: CVV # Name on Card: Signature: Total Due: $ Access Intelligence, LLC, 0000 Xxxxxxxxx Xxxx, 0xx Xxxxx, Xxxxxxxxx, XX 00000 Make checks payable to: Access Intelligence Sponsors can wire payment using this information: CIBC Bank USA 000 Xxxxx XxXxxxx Xxxxxx Xxxxxxx, XX 00000 ABA Number: 000000000 SWIFT Address: XXXXXX00 Beneficiary Account Number: 0000000 Beneficiary Account Name: Access Intelligence, LLC ACCESS INTELLIGENCE, LLC TERMS AND CONDITIONS
Sponsor Signature. Sponsor expressly represents and warrants to Access Intelligence, LLC that it has the authority to enter into this Agreement and that the person signing this Agreement is authorized by the sponsor to execute this Agreement and bind the sponsor to the terms set forth herein and on the reverse side of this Agreement. Sponsor has executed this Agreement as of: Date: Sponsor: Print Name: Authorized Signature:
