Witness Date. TRANSFEREE --------------------------------------------------------------------- (Signature: see Notes)
Witness Date. PAYMENTS (Tick where appropriate) * In accordance with existing instructions (existing holders only) * By cheque posted to the above address * By credit to the following account in Australia in the name of the Transferee only Tax File Number (if applicable): Authorised signature of Transferee ------------------------ Date:
Witness Date. Signed for and on behalf of the Electrical Trades Union of Australia, New South Wales Branch
Witness Date. I have read and understand the information contained in the Therapy Agreement, Policies and Consent. I have discussed any questions that I have regarding this information with Xxxxx X. Xxxxxxx. My signature below indicates that I am voluntarily giving my informed consent to receive counseling services and agree to abide by the agreement and policies listed in this consent. I authorize Xxxxx X. Xxxxxxx to provide counseling services that are considered necessary and advisable.
Witness Date. ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
Witness Date. Note: This agreement does not expire. It covers instruction, advice, and demonstration flying of hang gliding equipment beyond the paid or contracted instructional lessons.
Witness Date. PARTICIPANT OR PERSON SIGNING ON PARTICIPANT’S BEHALF (INCLUDE RELATIONSHIP TO PARTICIPANT) DATE
Witness Date. I have read and understand the information contained in the Therapy Agreement, Policies and Consent. I have discussed any questions that I have regarding this information with Xxxxxxx Xxxxx, LMFT. My signature below indicates that I am voluntarily giving my informed consent to receive counseling services and agree to abide by the agreement and policies listed in this consent. I authorize Xxxxxxx Xxxxx, LMFT to provide counseling services that are considered necessary and advisable.
Witness Date. The amount of such dues assessments shall be certified to the Employer by the Secretary of the Union. In the event of a change therein, not less than thirty (30) days notice thereof shall be given to Employer. The dues and/or assessments deducted from the pay of employees shall be forwarded by the Employer the Union later than the 20th day of each month. The Employer agrees to provide the Union with a monthly listing of dues and/or giving a brief explanation regarding each employee from whom dues assessments have not been deducted.
Witness Date. If you are interested in automatic debit of your club statement from your bank account, please complete the following: