Common Contracts

2 similar Patient Membership Agreement contracts

Patient Membership Agreement)
Patient Membership Agreement • October 9th, 2022

I, agree to all of the following terms and conditions of membership of Quality Control Delivery, a nonprofit mutual benefit corporation organized under the California Nonprofit Mutual Benefit Corporation Law (referred to as the “Collective“). I understand that this Agreement is required to join the Collective, and I promise to abide by its terms and conditions at all times during my tenure as a member of the Collective. In consideration of the processing of my application, and of the rights, privileges and benefits of membership in the Collective, and for other good and valuable consideration the receipt of which is hereby acknowledged, I enter into this Agreement as of the date set forth next to my signature.

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NORCAL HOLISTICS INC. Patient Intake/Membership Application AGREEMENT (Patient Membership Agreement)
Patient Membership Agreement • February 19th, 2017

I, agree to all of the following terms and conditions of membership of NORCAL HOLISTIC’S, a nonprofit mutual benefit corporation organized under the California Nonprofit Mutual Benefit Corporation Law (referred to as the “Collective“). I understand that this Agreement is required to join the Collective, and I promise to abide by its terms and conditions at all times during my tenure as a member of the Collective. In consideration of the processing of my application, and of the rights, privileges and benefits of membership in the Collective, and for other good and valuable consideration the receipt of which is hereby acknowledged, I enter into this Agreement as of the date set forth next to my signature. Terms, Conditions & Representations 1. I represent and warrant that all information, representations, records and other documents I provide to the Collective, and those provided on my behalf, to join the Collective, and as may be submitted in the future to maintain my membership and to

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