Home Telephone Number definition

Home Telephone Number means any telephone number used

Home Telephone Number. Email Address: Post Code: Work Telephone Number: Date of Birth:

Home Telephone Number. Mobile: Email Address: Length Over All: Boat Name: Beam: Boat Type: Draft: Boat Make: Boat Model: Xxxxx or Side Access: Electric Connection: Yes / No Commencing: / / or A.S.A.P. (Please delete as appropriate) Payment Schedule: Monthly / Quarterly / Bi-annually / Annually (Please delete as appropriate) All current charges applicable to the Mooring Agreement are as set out in the attached Schedule of Tariffs. CHECKLIST – I HAVE ENCLOSED: COPY OF INSURANCE COPY OF BOAT SAFETY CERTIFICATE (Please tick) COMPLETED DIRECT DEBIT INSTRUCTION FORM COMPLETED KEY CARD REQUEST FORM COMPLETED PERSONAL SERVICE PLAN FORM SIGNED: DATE: / / Please retain a copy of this agreement for your records and return a signed copy to Brundall Gardens Marina. Instruction to your bank or building society to pay by Direct Debit XXXX XXXX BRUNDALL NORWICH NR13 5RG

Examples of Home Telephone Number in a sentence

• Surname / First Name / Passport No. / Residential Status / Residential Address / Home Telephone Number / Mobile Telephone Number / Office Telephone Number / E-mail Address.

• Name Badge # (if appropriate) Home Address Home Telephone Number Spouse's Name Please complete both portions of this form and return to: State Law Enforcement Bargaining Council 0000 Xxxxxxxxx Xxxxx Xxxxx, Suite 500 Lincoln, NE 68512 I hereby revoke my written authorization for payroll deduction for membership in the State Law Enforcement Bargaining Council.

• Surname Full Name(s) ID/Passport Number Relationship to applicant Residential Address Postal Addressif different from Residential Home Telephone Number Cell Number E-mail Address Occupation Company Name Work Address Work Telephone Number If the person responsible for payment is not the Legal Parent/Guardian please give us the details of the person legally responsible for the child.

• Full Legal Name (print) Signature Maiden or Other Names Worked Under Street Address* E-mail Address* City, State and Zip Code* Cell phone* Home Telephone Number* *This information will be redacted and will not be filed in the public record.

• Department/Xxxxxxx Xxxx of Employee Date Home Telephone Number (optional) E-Mail Address Signature of employee It is understood and accepted that each Department shall give to each of its employees and to the Union written notice of the orientation meeting.

More Definitions of Home Telephone Number

Home Telephone Number means any telephone number used primarily for personal communications, including a landline or cellular telephone number.

Home Telephone Number. Email Address:

Home Telephone Number. Employee's Home E-mail Address (if available): I am familiar with and understand the provisions of my employer’s disability benefits plan(s) (the "Plan") that require that monthly payments to me will be reduced by certain amounts, such as Social Security and Workers' Compensation benefits. I understand that these reductions may sometimes be based on a reasonable estimate of the amount of other benefits that will be paid to me. I agree to these reductions. I further understand and agree that I am required to repay the Plan for any overpayments that have been made to me, including, without limitation, payments that have not been offset (or offset fully) for retroactive awards of Social Security, Workers' Compensation or other relevant benefits under the terms of the Plan and that I am required to pay the Plan any amounts that I recover from a third party in connection with my disability to the extent provided under the terms of the Plan. I agree to make these payments promptly, in accordance with the terms of the Plan. I understand and agree to the terms of the Plan regarding other rights of the Plan to recover amounts through subrogation and third party reimbursement. I further agree to notify the local HR representative immediately upon my receiving notice that I have or will receive any amounts that offset my benefits under the Plan or any amounts that oblige me to pay or repay any amount to the Plan.

Home Telephone Number. Father’s Name: Street Address is different from student? Father’s Work Number: City/Zip Code: Father’s Cell Number: Mother’s Email: Father’s Email:

Home Telephone Number. Mobile Number (FOR WHATSAPP TEAM COMMUNICATION): ..………………………………….. Email Address: ……………………………………………………………………………………… In the event of an incident or emergency where the parent or legal guardian above cannot be contacted, please provide details of an alternative adult who can be contacted by the Club. Please make sure that this person is aware that their details have been given as a contact. Name: ..………………………………………………………………………………………………… Relationship (e.g.: Aunt, neighbour): ……………………………………………………………..... Address: ..……………………………………………………………………………………………… ………………………………………………………….……………………………………………...... Contact phone number: ……………………………………………………………………………....

Home Telephone Number. Office Telephone Number:_________________________________________

Home Telephone Number. Office Telephone Number:_________________________________________ -iii- TYCON FORM (Infocall communications Corp.) ------------------------------- Exhibit - 10.19