Office Use Only. Member # Excel Member File Rec’d by Sage & Aloha Payment Method Office Copy Charging Agreement (if applicable) Memberships are not refundable or transferable HOUSE CHARGE AGREEMENT The information contained in preceding application is submitted for the purpose of obtaining House charge privileges with The Xxxxxxx Corporation d/b/a The Wentworth Golf Club/The Red Fox Bar and Grille. On the opening of a charge account for , referred to as customer, agrees as follows: To pay for all merchandise, services, meals and beverages purchased on this account within thirty (30) days from the end of the month of any such purchase, including all charges made by customer and all other persons with his or her authorization. The customer further agrees to pay a service charge of 1.5% on any balance remaining unpaid after this due date, such charges to be added to customer’s subsequent monthly bills. Any balance unpaid longer than 60 days shall be grounds to discontinue charge privileges. Acceptable methods of payments are: Cash or Check – Credit Cards are not accepted for charge payments. The customer further agrees that if his or her balance is not paid in full within sixty (60) days of the due date, the balance of all of customer’s accounts may, at the Xxxxxxx Corporation d/b/a The Wentworth Golf Club/The Red Fox Bar and Grille’s option, be referred immediately to outside collection and customer shall be responsible for all costs associated with said outside collection, including reasonable attorney’s fees. Customer warrants and represents that all information contained in this application is true, accurate and complete. Customer acknowledges that The Xxxxxxx Corporation d/b/a The Wentworth Golf Club/The Red Fox Bar and Grille is relying on information contained in this application in its decision regarding the extension of charge privileges to the customer. Customer authorizes The Xxxxxxx Corporation, d/b/a The Wentworth Golf Club/The Red FoxBar & Grille to make any investigation of customer’s charge privileges with regard to information contained in the foregoing application. The Xxxxxxx Corporation, d/b/a The Wentworth Golf Club/The Red Fox Bar and Grille is not required to make any such investigation and may rely on information contained within the foregoing application for charge privileges. All transactions involving charge privileges extended under this agreement shall be governed by the laws of the State of New Hampshire, which are expressly adopted to control al...
Office Use Only. Reviewed by: Notes:
Office Use Only. St Michael's Program □ EDP1 □ EDP2 □ After School BILLING CODE BILLING CODE SUBSIDY, if applicable Subsidy Expiry: PC, if applicable ACH Form on File YES NO New Family YES NO Registration Fee NA YES NO Returning Family YES NO Start Date: Withdrawal Date: Schedule Change YES NO Effective date of Change: SEP OCT NOV DEC JAN FEB MAR APR MAY JUN
Examples of Office Use Only in a sentence
Service Provider Signature: Date: / / ★For Office Use Only Ceased Enrolment Details: Date Enrolment Ceased: / / Three weeks’ notice in writing received and Account finalised Yes / No Account referred to Baycorp Yes / No ANY ADDITIONAL NOTES PLEASE: Privacy Statement: All personal information on your child will be kept securely and remain confidential.
More Definitions of Office Use Only
Office Use Only. Date Received:__________________________________ Date Accepted/Rejected_________________________________________ Subscriber's Check Amount:_______________________ Check No.___________________ Date Check ________________ Deposited________________________________ MR #________________
Office Use Only. Fiber ONT: ADTRAN / CALIX MAC Address: Serial #: Payment Option: Cash Check Called In Received in Office By: Check # Amount Received:
Office Use Only. Sites: Type Code: Total FTEs: Verified (initials): Please sign and date below as indicated below: Name Signature Title Date Please send the completed Account Activation Form to Choice via email, fax, or surface mail, as shown below. Once your account has been activated, we will send an administrative username and password to the account administrator. Choice Reviews Customer Service 000 Xxxx Xxxxxx, Xxxxx 000 Xxxxxxxxxx, XX 00000 XXX Phone: +0 000.000.0000 x 5 Fax: +0 000.000.0000 E-mail: xxxxxxx@xxxxxxxxxx.xxxxxxxxx.xxx After submitting this form, please complete and sign the Terms of Use at xxxx://xxxxxx000.xxx/products/reviews/subscribe/crterms.pdf
Office Use Only. Approved: Denied: Signature: Date: Comments
Office Use Only. Date Received: Additional Info required: Previous CB: Papers from Previous CB: Accepted and Quoted: Quotation accepted: Reference No: Logged on: Date Assigned: Document No: Revision No: Issue Date: Issued By: Page No.
Office Use Only. Key out: Key in:
Office Use Only. Total fee due: $ Deposit paid: $ Date Balance paid: $ Date: