Licensee Signature definition

Licensee Signature. Date: Address: Authorized Signature: Date: Printed Name of Signer:
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Licensee Signature. Date: LICENSEE: Dated: Signature: X Print Name: Address: City: State: Zip Code: Daytime Phone: ( ) Email: Usage: (Car; Car + Tent;) Total Price: $ Please xxxx my Credit Card ( circle one) Visa MC AMX CC#: _ _ CCV: Ex. _ /_ / Print Cardholder Name: Cardholder Signature: X Make check payable to “TAILGATE BAR & GRILL” and mail to: 000 Xxxxxx Xxxxxx Jacksonville, FL 32202 Phone (000) 000-0000 Fax (000) 000-0000 Email: XxxxxxxxXxxxxxx@Xxxxx.xxx
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Licensee Signature. Date: LESSOR /AGENTS SIGNATURE: Date: WITNESS: Name: SIGNATURE: Date:
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Examples of Licensee Signature in a sentence

  • BROKER / BROKER’S AFFILIATED LICENSEE CONTACT INFORMATION Selling Broker MLS Office Code Brokerage Firm License Number Broker/Affiliated Licensee Signature Broker’s Phone Number Fax Number Print or Type Name Date Broker’s Address Licensee’s Phone Number Fax Number Licensee’s E-mail Address GA Real Estate License Number REALTOR® Membership RECEIPT OF A COPY OF THIS AGREEMENT IS HEREBY ACKNOWLEDGED BY BUYER.

  • FOR TRAINING ONLY BROKER / BROKER’S AFFILIATED LICENSEE CONTACT INFORMATION Leasing Broker MLS Office Code Brokerage Firm License Number Broker/Affiliated Licensee Signature Broker’s Phone Number Fax Number Print or Type Name Date Broker’s Address Licensee’s Phone Number Fax Number Licensee’s E-mail Address GA Real Estate License Number REALTOR® Membership RECEIPT OF A COPY OF THIS AGREEMENT IS HEREBY ACKNOWLEDGED BY TENANT.

  • FOR TRAINING ONLY BROKER / BROKER’S AFFILIATED LICENSEE CONTACT INFORMATION Listing Broker MLS Office Code Brokerage Firm License Number Broker/Affiliated Licensee Signature Broker’s Phone Number Fax Number Print or Type Name Date Broker’s Address Licensee’s Phone Number Fax Number Licensee’s E-mail Address GA Real Estate License Number REALTOR® Membership RECEIPT OF A COPY OF THIS AGREEMENT IS HEREBY ACKNOWLEDGED BY SELLER.

  • Building Owner’s Signature Licensee Signature Building Owner’s Name (print) Licensee Name (print) Date Date On-LicenceBuilding Owner’s Approval If the applicant is not the owner of the building, the owner must complete this form.

  • THE INSTITUTE FOR SCIENTIFIC ANALYSIS (Licensor) By Xxxxx Xxxxx Title Manager, CSM Program Date (Licensee) Signature Printed Name Title Date Attachment A ATTACHMENT A--FEE SCHEDULE September 1, 2018 Annual fees for Association membership and software utilization are defined for several different types of memberships and levels of utilizations.

  • BROKER / BROKER’S AFFILIATED LICENSEE CONTACT INFORMATION Listing Broker MLS Office Code Brokerage Firm License Number Broker/Affiliated Licensee Signature Broker’s Phone Number Fax Number Print or Type Name Date Broker’s Address Licensee’s Phone Number Fax Number Licensee’s E-mail Address GA Real Estate License Number REALTOR® Membership RECEIPT OF A COPY OF THIS AGREEMENT IS HEREBY ACKNOWLEDGED BY SELLER.

  • Licensee: Signature: Printed Name: Address: Phone: Email: Return completed Agreement along with both payments to: Darien Swim & Racquet Club c\o Rental Chairperson 0000 Xxxxxxxxx Xxx.

  • Licensee Signature Date Printed Signature (as signed above) Title Mailing address City, State, ZIP Phone e-mail address STATE OF COUNTY OF Sworn to (or affirmed) and subscribed before me this day of , 20 , by .

  • What we don’t cover when your home is unoccupiedYour home is unoccupied if no one has been living in it for more than 60 days and you did not tell us beforehand that it would be empty.

  • Licensee Signature: Name & Title: Date: This bottom portion is to be filled out by a certified SWIS/EC-SWIS/CICO-SWIS/I-SWIS facilitator.


More Definitions of Licensee Signature

Licensee Signature. Broker of Record Signature: Licensee Name Printed: Broker of Record Name Printed: Licensee’s TREB Membership Number: Office Name: Office Address: Please check off one of the following: Release all of Brokerage’s Listings Release all of Branch Office’s Listings Release only Licensee’s Listings Licensee’s Email Address To be completed by TREB: Toront o Real Estate Board: Per: Date: Name: Title: SCHEDULE “A” LICENSE FEES TREB may change its License Fees no more often than annually, and no increase in License Fees shall exceed 10 percent per annum over the License Fees for the prior calendar year. The License Fees payable by the Licensee are as follows:
Sample 1
Licensee Signature. Date: Print Name: Title: Mayor’s Signature: Date: Print Name: Title: TO BE COMPLETED BY CITY PERSONNEL Insurance Attached: YES NO Deposit: YES NO If yes: Amount Check # (write cash if paid in Cash) Batch # Schedule Included: YES NO Fee Charged: Recreation Department Personnel: Signature: Date: Attachment A- Insurance Attachment B- Recreation Department Fees City of Saratoga Springs RECREATION DEPARTMENT FEES - 2018: Ice Rink Fee The Ice Rink Fees will be effective on July 1, 2017 Description Fees XXXXXX ARENA - HOURLY RATE CITY USER GROUPS $ 155.00 NON-CITY USER GROUPS $ 175.00 CITY USER GROUPS- Summer Rental $ 180.00 NON-CITY USER GROUPS- Summer Rental $ 190.00 Groups such as BOCES, WALDORF SCHOOL of SARATOGA SPRINGS, etc. during off peak day time school hours Monday - Friday will be FREE, or be given a REDUCED FEE. If ice is needed by other customers, they will be given priority. XXXXXX AVENUE ICE RINK - HOURLY RATE CITY USER GROUPS $ 165.00 NON-CITY USER GROUPS $ 185.00 CITY USER GROUPS- Summer $ 180.00 NON-CITY USER GROUPS- Non Summer $ 190.00 BANNERS INSTALLATION OF BANNER $ 50.00 REPLACE BANNER IN THE SAME LOCATION $ 25.00 FOR PROFIT ORGANIZATION ANNUAL FEE $ 50.00 INTERNET ORAGANIZATIONS UTLIZING INTERNET CONNECTION PER SEASON Varies Late Payment Fees for payments received more than 30 days after billing date $ 25.00
Sample 1
Licensee Signature. Date: Facility Rep Signature: Date: Please leave this page and your check in the drop box. Fee Schedule: RESERVATION FEE $100.00 This is due at the time of reservation. Non-refundable unless cancelled, in which case 100% of the deposit will be refunded if we are given at least 14 days cancellation notice. No refund if less than 14 days notice. NO EXCEPTIONS.
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Licensee Signature. Name & Title: Date: This bottom portion is to be filled out by a certified SWIS/EC-SWIS/CICO-SWIS/I-SWIS facilitator. Facilitator Name: Email: I affirm, in my judgement the school above meets readiness requirements for adopting SWIS, EC-SWIS, CICO-SWIS, I-SWIS. Facilitator Signature: Date: Attachment A: License Fees LICENSEE will pay the following License Fees to OREGON (The fees listed below are per school per academic year per application (SWIS, CICO-SWIS, I-SWIS, EC-SWIS) a school accesses) If Licensee is an individual school, the price per bundle of applications is: 1 application (SWIS, CICOSWIS, I-SWIS) 2 applications (SWIS+CICO-SWIS, SWIS+I-SWIS, CICO-SWIS+I-SWIS) 3 applications (SWIS+CICOSWIS+I-SWIS) $350 $460 $570 1 application (EC-SWIS, CICOSWIS, I-SWIS) 2 applications (EC-SWIS+XXXX- XXXX, XX-SWIS+I-SWIS, CICO- SWIS+I-SWIS) 3 applications (EC- SWIS+CICOSWIS+I-SWIS) $350 $460 $570 If Licensee is an organization (e.g., district, ESD, state, grant) purchasing applications for a set of schools, Licensee will be billed at the following tiers: 1 application (SWIS, CICO-SWIS, ISWIS) 2 applications (SWIS+CICO- SWIS, SWIS+I-SWIS, CICO- SWIS+I-SWIS) 3 applications (SWIS+CICO- SWIS+ISWIS) 1-19 schools $350 $460 $570 20-39 schools 10% discount ($315) 10% discount ($414) 10% discount ($513) 40+ schools 20% discount ($280) 20% discount ($368) 20% discount ($456) 1 application (EC-SWIS, CICO-SWIS, I-SWIS) 2 applications (EC- SWIS+CICOSWIS, EC-SWIS+I- SWIS, CICO-SWIS+I-SWIS) 3 applications (EC- SWIS+CICO-SWIS+ISWIS) 1-19 schools $350 $460 $570 20-39 schools 10% discount ($315) 10% discount ($414) 10% discount ($513) 40+ schools 20% discount ($280) 20% discount ($368) 20% discount ($456) All organizational Licensees have the option to prepay for schools’ bundled applications at the appropriate tiered rate. If Licensee does not prepay the Licensee Fee, it will be invoiced upon account setup at the appropriate tier. License Fees will be prorated from the first full month of access to the application. Applications purchased as a bundle at the initial point of purchase will receive the bundled discount. Applications purchased one at a time throughout the year are each billed at the prorated 1-application rate. All applications initially purchased one at a time will be renewed at any applicable bundled rates. Attachment B: Privacy and Security Privacy and security are among our highest priorities for the SWIS Suite. We work diligently to maintain student and teacher pr...
Sample 1
Licensee Signature. LICENSEE Signature: Mailing Address: Phone: Email Address: Lake Property Address: Alternate Phone: OFFICE USE ONLY LICENSOR: S.F.L.E.C.C. LICENSE NO. Application Accepted By: Authorized Representative Additional Terms and Conditions of Shore Front License
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Related to Licensee Signature

  • Digital Signature means authentication of any electronic record by a subscriber by means of an electronic method or procedure in accordance with the provisions of section 3;

  • Pole sign means a sign that is mounted on a freestanding pole or other support so that the bottom edge of the sign face is six feet or more above grade.

  • Signature means a tangible symbol or an electronic signature that evidences the signing of a record.

  • Authorized User means a person:

  • Authorized Users means an individual or individuals with an authorized business requirement to access DSHS Confidential Information.

  • Electronic Signature means an electronic sound, symbol, or process attached to, or associated with, a contract or other record and adopted by a Person with the intent to sign, authenticate or accept such contract or record.

  • Authorized Users(s) means an individual or individuals with a business need to access DSHS Confidential Information, and who has or have been authorized to do so.

  • Authorized Signature means the signature of an individual authorized to receive funds on behalf of an applicant and responsible for the execution of the applicant’s project.