InstructionsClient Application Agreement • March 12th, 2020
Please complete in block letters and mark with an “x” where applicable. All alterations must be initialed. Draw a line through sections which are not applicable to your account. The “Agreement” is comprised of this client application form, where applicable, a FAIS approved mandate form and/or an Investment Policy Statement (which may or may not be included in this form) as well as any other disclosures and ancillary documentation. The Agreement (comprising of the documentation above) forms an agreement between the client identified in part 1, (“you” or “your”) and FNB Stockbroking and Portfolio Management (Pty), a subsidiary of FirstRand Bank Limited, an Authorised user of the JSE Limited (Reg. no.1996/011732/07), hereinafter referred to as “FNB SPM”. Any reference to the “parties” is reference to you and FNB SPM, collectively and any reference to a “party” is to either you or FNB SPM, respectively.
ContractClient Application Agreement • February 25th, 2022
Please complete in block letters and mark with an “x” where applicable. All alterations must be initialed. Draw a line through sections which are not applicable to your account. The “Agreement” is comprised of this client application form, where applicable, a FAIS approved mandate form and/or an Investment Policy Statement (which may or may not be included in this form) as well as any other disclosures and ancillary documentation. The Agreement (comprising of the documentation above) forms an agreement between the client identified in part 1, (“you” or “your”) and FNB Stockbroking and Portfolio Management (Pty) Ltd, a subsidiary of FirstRand Bank Limited, an Authorised user of the JSE Limited (Reg. no.1996/011732/07), hereinafter referred to as “FNB SPM”. Any reference to the “parties” is reference to you and FNB SPM, collectively and any reference to a “party” is to either you or FNB SPM, respectively.
Client Application & AgreementClient Application & Agreement • July 14th, 2015
Pharmaceutical Products and Medical Foods: Targeted Medical Pharma (TMP) shall provide pharmaceutical products and medical foods to the Healthcare Provider listed on this agreement. Provider agrees to pay for all pharmaceutical products and medical foods ordered by Doctor or one of the authorized agents listed above when due. It is expressly agreed that Provider assumes all risks of storage and use of drug and medical food products. Provider understdands that products cannot no be returned or exchanged without written consent by TMP. Provider agrees to immediately notify TMP if they wish to terminate this Agreement. Upon termination of this Agreement, TMP is entitled to collect
InstructionsClient Application Agreement • June 7th, 2021
Please complete in block letters and mark with an “x” where applicable. All alterations must be initialed. Draw a line through sections which are not applicable to your account.
InstructionsClient Application Agreement • June 4th, 2021
Please complete in block letters and mark with an “x” where applicable. All alterations must be initialed. Draw a line through sections which are not applicable to your account.
ContractClient Application Agreement • April 13th, 2023 • Gauteng
Please complete in block letters and mark with an “x” where applicable. All alterations must be initialed. Draw a line through sections which are not applicable to your account.
ACOL∗Client Application Agreement • May 13th, 2020
This Client Application, when completed in duplicate, signed by the Client and accepted by Unisys Canada Inc. (“Unisys”), shall constitute an agreement between the Client and the Province(s) of the database(s) selected by the Client below (“Database(s)”) for electronic access to said Database(s) (“ACOL Service”), in accordance with the appended Terms and Conditions, Product Description(s) and Financial Agreement.
Internal Use OnlyClient Application & Agreement • March 3rd, 2021
ACOL∗ CLIENT APPLICATIONClient Application Agreement • May 13th, 2020
This Client Application, when completed in duplicate, signed by the Client and accepted by Unisys Canada Inc. (“Unisys”), shall constitute an agreement between the Client and the Province(s)/Territory(ies) of the database(s) selected by the Client below (“Database(s)”) for electronic access to said Database(s) (“ACOL Service”), in accordance with the appended Terms and Conditions, Product Description(s) and Financial Agreement.
InstructionsClient Application Agreement • July 3rd, 2020
Please complete in block letters and mark with an “x” where applicable. All alterations must be initialed. Draw a line through sections which are not applicable to your account.
