APPLICATION AND AGREEMENTApplication and Agreement • March 10th, 2023 • Pennsylvania
The WNY Ford Dealers Advertising Fund, Inc. (“Erie Ford Dealers”) sponsors its Ford Friendship Express Program (the “Program”) pursuant to which from time to time it donates a Ford van of its choice (the “Van”) to an eligible organization selected by it. The Erie Ford Dealers contemplate making a donation during the 3rd quarter of the 2023 calendar year of a Van to a designated eligible organization located and operating in the Erie, Pennsylvania, area, consisting of the counties of Erie, Crawford, and Warren, Pennsylvania. If your organization is located in the Erie area and would like to be considered for the donation, please complete this Application and Agreement by June 30, 2023 and return it to:
Application and AgreementApplication and Agreement • April 28th, 2023
The St. Charles Farmers’ Marketplace, Village of St. Charles, and their representatives assume no liability for damage or injuries incurred by vendors or shoppers from the conduct or participation with the St. Charles Farmers’ Marketplace.
Application and AgreementApplication and Agreement • June 12th, 2017
AGREEMENTApplication and Agreement • April 22nd, 2019
FULL NAME - Last, First, Middle FULL NAME - Last, First, Middle Previous Last Name(s) Best Phone Number Previous Last Name(s) Best Phone Number Will You Be on the Title to the Home: o YES o NO Will You Be on the Title to the Home: o YES o NO Will You Reside in the Home: o YES o NO Will You Reside in the Home: o YES o NO Birthdate Social Security Number Birthdate Social Security Number Marital Status: o Married o Unmarried (Single, Divorced, Widowed) Marital Status: o Married o Unmarried (Single, Divorced, Widowed) Email Address (optional): Email Address (optional): Current Street Address Current Street Address City, State, Zip Code City, State, Zip Code How Long at Present Address? Years Months How Long at Present Address? Years Months Residential Status? Residential Status? oHomeowner oRenter oOther Monthly Payment $ oHomeowner oRenter oOther Monthly Payment $ Lienholder/Landlord Name and Phone # Lienholder/Landlord Name and Phone # Previous Address (if l
Application and AgreementApplication and Agreement • October 18th, 2023
Le Conseil De La Recherche En Santé Pour Le DéveloppementApplication and Agreement • September 17th, 2009
Application and AgreementApplication and Agreement • March 31st, 2023
This agreement is entered into on this day of , 2023 by and between The Firefly Artists located at 90 Main Street, Northport, NY 11768 and hereafter referred to as “Applicant” residing at the address listed below.
Application and AgreementApplication and Agreement • December 8th, 2010 • England and Wales
Instructions: A fully executed hard copy of this Application and Agreement must be mailed to VeriSign, Inc. at the following address:
MURRIETA POLICE EXPLORERS APPLICATION AND AGREEMENTApplication and Agreement • April 29th, 2024
Please type or print clearly. Do not leave any field blank. Enter "N/A" if not applicable. For all addresses, please include street address, city, state and zip code. for all telephone numbers, please include area code. When complete, print, sign and date.
Application and AgreementApplication and Agreement • April 29th, 2022
Be currently and lawfully employed at a licensed child care facility as an owner, director, or caregiver in the state of Utah
Application and AgreementApplication and Agreement • January 13th, 2017
APPLICATIO N AN D AGREEMENTApplication and Agreement • March 21st, 2016
As stewards of Prince George’s County water resources, we, the members of request permission to adopt segment located in the watershed.
Bali Hai Estates Application and AgreementApplication and Agreement • October 22nd, 2014
Have you ever been arrested on a charge involving the use of illegal drugs, substance abuse or any related charge? Yes ( ) No ( ) If yes, please indicate the date of arrest, the name of the arresting authority, the law violations with which you were charged, and any other details of which you are aware.
APPLICATION AND AGREEMENTApplication and Agreement • May 20th, 2015 • England and Wales
Application for : ❑ UnionPay Online Payment “UPOP” ❑ UnionPay Point of Sale “POS” Company Information (Referred to as “Merchant”) Company Name: Company Registration No.: Incorporation Since: (DD / MM / YY) Company Phone No: + Website: http(s):www. Company Type: ☐ Sole Trader ☐ Partnership (No. of Partners : ) ☐ Private Limited ☐ Public Limited ☐ Registered Charity Nature of Business / Industry Sector: Does your company run any retail stores: ☐ No ☐ Yes, number of retail stores in UK : Trading Company Name (Optional for company operating under a different name) Trading Company Name: Company Registration No.: Company Phone No.: + Principal(s) Information For Sole Trader please provide the information for principal (1). For Partnership, Limited & Public Company, two principals are required. (eg. CEO, CFO, COO, GM, Managers or Directors) One of these named principals must be duly authorised to sign this Merchant Application and Agreement. Principal (1) Title : ☐ Mr ☐ Mrs ☐ MissFirst Nam
Saturday Success Academy (Literacy, Arts, STEM activities) Application and Agreement 2022-2023Application and Agreement • November 3rd, 2022
By signing this agreement, you ensure that your child will attend Saturday Success Academy regularly. Our data shows that students who participate regularly show increase in academic scores. Students should attend Saturday Success Academy weekly and must inform the program when absent.
APPLICATION AND AGREEMENTApplication and Agreement • February 16th, 2016
NAME (Including middle initial) DATE OF BIRTH SOCIAL SECURITY NUMBER PRESENT ADDRESS CITY STATE ZIP CODE HOME/CELL PHONE HOW LONG MARITAL STATUS
ContractApplication and Agreement • July 7th, 2022
APPLICATION AND AGREEMENT, COPYRIGHT NOTICE AND AGREEMENT, NON-DISCLOSURE POLICY, EXAM IRREGULARITY POLICY AND ACKNOWLEDGEMENT/COOPERATION AGREEMENT
APPLICATION AND AGREEMENTApplication and Agreement • February 21st, 2006
WILDWOOD SHORES POA ACC APPLICATION AND AGREEMENTApplication and Agreement • October 12th, 2023
The ACC has 30 days in sections 1 through 4 and 90 days in sections 5 through 15 to approve or deny the submitted application. The 30/90 days starts when a FULLY COMPLETE application is forwarded to the ACC from the Management Company. The
Application And AgreementApplication and Agreement • July 8th, 2006
ContractApplication and Agreement • August 6th, 2021
APPLICANT INFORMATION / / Name / Company Name Date of Birth Name under which business is conducted, if different (e.g., “XYZ Enterprises”): Address City, State / Zip / Postal Code Phone Cell Email
APPLICATION AND AGREEMENT (Private enterprises)Application and Agreement • July 31st, 2023
TERMS AND CONDITIONS The Applicant agrees and undertakes: That this Agreement only becomes final and binding on acceptance of the Applicants application by the Deeds Office Pretoria. That, subject to the provisions of clause 1, this Agreement is final and binding and not subject to any suspensive or resolutive conditions. That no alterations or additions to this Agreement may be effected unless reduced to writing and signed by the Account holder and the Deeds Office Pretoria. The Account holder: Warrants that all information supplied to the Deeds Office Pretoria in the Application are accurate, true, complete and correct and will continue to remain accurate, true, complete and correct in all respects and; Will be obliged to inform the Deeds Office Pretoria if any of the information supplied in the Application change. The Account holder undertakes to inform the Deeds Office Pretoria in writing within 7 days of any change of Director, Member, Shareholder, Owner, Partn
Please fill out this application and agreement, and return by May 1, 2014 with $200 deposit to:Application and Agreement • January 11th, 2014
