Mail to. Signature: _____________________ Pacific Stock Transfer Company Print Name: ____________________ 500 East Warm Springs Road, Suite 240 Las Vegas, Nevada 89118 ________________________________ ________________________________ Federal Employer Identification Number/Social Security Number ________________________________ Street Address ________________________________ City, State and Zip Code ________________________________ Telephone Number

Mail to. NC 529 Plan P.O. Box 40877 Raleigh, NC 27629-0877 That document should be read in full before completing this Enrollment and Participation Agreement for Entities (the “Enrollment Agreement”). Overnight or registered mail: NC 529 Plan 0000 Xxxxxxxxx Xxxx. Raleigh, NC 27604 This form must be completed by an Authorized Representative of the entity. A separate Enrollment Agreement must be completed for each Account. Note: This enrollment form establishes an Account for an entity; use form C420, Enrollment and Participation Agreement, to set up an Account as an individual Participant. 1 Please print clearly in capital letters and dark ink. Entity & Account Fax to: 000-000-0000 Email to: xxxxxxx@xxxx.xxx For questions or forms, contact the Program Administrator: College Foundation, Inc. XX000.xxx 000-000-0000 000-000-0000 (Raleigh) One of the College Foundation of North Carolina (CFNC) services helping students and families plan, apply and pay for college. I am establishing this Account as an Authorized Representative of the entity:

Mail to. Norwest Investment Management and Trust Corporate Trust and Escrow Services 1740 Broadway Denver, XX 00000-0000 Xxx xxx xx xxxxxxx xx xxxxxxor of a publicly held company? _______ Are you over 21 years of age? ______ Name of address of employer ________________________________________________ ____________________________________________________________________________ Occupation_______________________________ Individual income $______________ with spouse $_________ Net Worth $___________________ Investment objective: conservative ____ speculative ____ income____

Examples of Mail to in a sentence

If you have a dispute and our customer service representatives can’t resolve it, send a Notice of Dispute by U.S. Mail to the device manufacturer or installer, ATTN: LEGAL DEPARTMENT.
All notices required herein shall be mailed via First Class Mail to the parties' representatives at the addresses set forth below: CITY OF GREELEY: Xxx Xxxxxx, P.E., City Engineer City of Greeley, Public Works Dept.
You must send any Notice of Dispute by U.S. Mail to: Safeguard Equipment, Inc., 0000 X Xxxxxxxxx Xxx, Xxxx Xxxxx, XX 00000.
Any notice under this Agreement shall be in writing, and shall be deemed sufficient when directly presented or sent pre-paid, first class U.S. Mail to the Party at the address set forth on the first page of this Agreement.
Safeguard Equipment will send any Notice of Dispute to you by U.S. Mail to your address if we have it, or otherwise to your email address on file with Safeguard.

More Definitions of Mail to

Mail to. Nu Skin Canada, 0000 Xxxxxxxx Xx., Unit #1, Mississauga, ON, L5L 5Z9 The meaning of capitalized terms not found in this form is set forth in the Policies and Procedures. PLEASE TYPE OR PRINT CLEARLY USING DARK INK Federal Tax ID Number This business organization is a  Partnership  Corporation  Other (describe) Name of Business Entity (to appear on all correspondence) Mailing Address City/Province Postal Code Daytime Telephone Sponsor’s Name (Last, First, Middle) Sponsor’s ID Number Sponsor’s Telephone List the Primary Participant of the Distributorship and all other individuals who (i) are applying to be Distributors under the Distributorship, or (ii) have an interest in the Business Entity (e.g., member, partner, director, officer, shareholder, or other position): All signatures below affirm that each of the signing parties is either (i) an individual who is applying to become an additional party to a Distributorship (excluding a spouse or a co-habitant), or (ii) an individual with an interest or position in this Business Entity, who has read and accepted all of the terms and conditions detailed in the Contract, and that the Business Entity, and each individual, will comply with the terms and conditions of the Contract. THE PRIMARY PARTICIPANT IS AN AUTHORIZED AGENT OF THE BUSINESS ENTITY AND DISTRIBUTORSHIP, HAS BEEN FORMALLY AUTHORIZED TO SIGN AND EXECUTE CONTRACTS ON ITS BEHALF, AND NU SKIN MAY REPLY AND ACT ON ANY INFORMATION PROVIDED BY THE PRIMARY PARTICIPANT. Primary Participant’s Name (Last, First, Middle) Title Date Social Insurance Number Signature Name (Last, First, Middle) Title Date Social Insurance Number Signature Name (Last, First, Middle) Title Date Social Insurance Number Signature Name (Last, First, Middle) Title Date Social Insurance Number Signature Name (Last, First, Middle) Title Date Social Insurance Number Signature Name (Last, First, Middle) Title Date Social Insurance Number Signature List Business Entity names on back. This Form must be accompanied by a Distributor Agreement. All future changes to this Business Entity must be submitted in writing and must include the names and signatures of all original parties. The Company reserves the right to accept or reject any application to become an independent Distributor.

Mail to. Xxxx Xxxxxx, Planning & Development Services, Zoning Division, 0000 Xxxxxxxx Xxx, Xxxxx 000, Xxx Xxxxx, XX 00000. As soon as the INITIAL DEPOSIT monies, Public Notice Package, and PDS-346 have been received, PDS staff will then change the status of the project from “pre-intake” to “Intake.” Users can view the application information and status on-line. See PDS-318 for instructions. I, , acknowledge reading the EPAS Guidelines & Agreement Print Name ----- OFFICIAL USE ONLY ----- and understand a copy will be placed in my case file. My signature indicates that I understand and agree with its content and requirements. Customer Signature: Date: Email Address: 0000 XXXXXXXX XXX, XXXXX 000, XXX XXXXX, XX 00000 ● (000) 000-0000 ● (000) 000-0000 xxxx://xxx.xxxxxxxx.xx.xxx/pds

Mail to. Signature: ___________________________ Spongetech Delivery Systems, Inc. Subscription Account Print Name: __________________________ c/o Continental Stock Transfer & Trust Co. ______________________________________ 00 Xxxxxxx Xxxxx, 0xx Xxxxx ______________________________________ Federal Employer Identification Number/ Xxx Xxxx, Xxx Xxxx 00000 Social Security Number -------------------------------------- Xxxxxx Xxxxxxx -------------------------------------- Xxxx, Xxxxx and Zip Code -------------------------------------- Telephone Number

Mail to. Marin County Administrator’s Office Attention: Xxxx XxXxxxx 0000 Xxxxx Xxxxxx Xxxxx, Xxxx 000 Xxx Xxxxxx, XX 00000 Or Fax To: 000-000-0000, Attention: Xxxx XxXxxxx CONTRACTOR/ORGANIZATION NAME: Xxxxx Advocates for Children CONTRACT PERIOD: July 1, 2005 through June 30, 2006 APPROVED CONTRACT AMOUNT: $40,000 CONTRACT SCOPE: Funds will be used as follows: • $25,000 to partially offset staff salary costs for the Program Director and Case Supervisor supervising 110 CASA volunteers serving 138 children who are dependents of the court. • $7,500 to partially offset support staff salary costs providing administrative assistance for volunteer training sessions, monthly volunteer communications and CASA report preparation for the Court on active cases. • $7,500 for partial coverage of the occupancy costs of CASA program. I hereby certify that the agreed upon scope as described above and in Exhibit “A” has been fully completed without exception. AUTHORIZED SIGNATURE: TITLE:

Mail to. Sarpy County Clerk Attn: Xxxxxxxxx Xxxxx 0000 Xxxxxx Xxxx Xx. Xxxxxxxxx XX 00000-0000 Sincerely, Xxx Xxxxxxxxxxx Xxxxx County Clerk

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