Owner Signature definition

Owner Signature. Date: CM Signature: Date:

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Owner Signature. Name: Title: PET OWNER Date: THE PET NANNY Signature: Name: Title: The Pet Nanny Date: Name: Phone No.: Name: Phone No.: Name: Phone No.: Veterinarian Name: Business Address: City, State, Zip: Phone Number: Dear , The Pet Nanny will be caring for my Pet(s) [names] beginning on the date below. The Pet Nanny will attempt to contact me as soon as medical care is deemed necessary. However, if I cannot be reached immediately, I hereby authorize you to treat my Pet(s) and confirm that I will be responsible for payment of any such emergency treatment on my return. I authorized charges up to: $ . If the above-named veterinarian is not available, I agree that another veterinarian in his or her veterinary group may provide the treatment described above. If neither of these veterinarians is available, or if emergency care is needed after regular veterinary office hours, I give permission for The Pet Nanny to take my Pet(s) to the nearest animal hospital or emergency clinic. I understand that The Pet Nanny assumes no responsibility for the loss of any Pet and release The Pet Nanny from all liability related to transportation, treatment, and expense. My pet(s) have the following health issues: I [  do /  do not ] agree to authorize said veterinarian to euthanize my Pet in extreme circumstances under his/her advisement after all reasonable attempts have been made to reach me. This release is valid from the date below and grants permission for future veterinary care without the need for additional authorization each time The Pet Nanny cares for my Pet(s). I understand that this release applies to all of my Pet(s) in The Pet Nanny’s care. By signing this release, I agree that I have the sole authority to make health, medical, and financial decisions regarding the Pet(s). Owner Name (printed): _ Owner Signature: Date: Name Age Breed Color/markings Sex:  Male  Female Weight/size: Rabies Tag No. Date rabies shot expires: Microchipped  Yes  No History of illness  Yes  No Pet Licensed  Yes  No Microchip ID #: Spayed/Neutered  Yes  No License ID #: FEEDING Permitted types of food: Feeding times: Amount per feeding: Special feeding instructions? Please describe in detail. EMERGENCY CARE Veterinarian Name: Address: Phone No. Emergency Clinic Name: Address: Phone No.: MEDICATION

Owner Signature. Date: Owner Signature: Date:

Examples of Owner Signature in a sentence

• X Date: ----------------------------------- ------------------------------ Proposed Primary Insured Signature X Date: ----------------------------------- ------------------------------ Proposed Policy Owner Signature (if other than the Proposed Insured) RECEIPT OF PAYMENT A premium payment of $ has been submitted with the Application or Request.

• Accepted and agreed by the Legal Guardians: Account Owner: Signature: Print Name: _ Date: I elect to privately bank my Child’s Cord Blood Stem Cells with ViaCord.

• TENANT: Vessel Owner Signature: Date: Accepted by: TGM ANCHOR POINT LLC By: Name: Title: Date: The term "Vessel" is used here to describe any manner of Water Craft permitted to navigate the waters of the State of Connecticut.

• Account Owner Signature Additional Account Owner Signature Selling/Surrendering/Liquidating Instructions.

• Owner Signature: Print Name: Grantee Signature: Print Name: Total Number of Units at the Property (Assisted + Non-Assisted): Percent of Assisted Units and other Units Restricted to Persons with Disabilities at the Property3: 1 This Exhibit must be completed and attached to the Contract at the time the Agreement is executed.

More Definitions of Owner Signature

Owner Signature. Pet’s Name: _________________________

Owner Signature. Date: DPRC-SI Signature: Date: Contractor Signature: Date:

Owner Signature. Date: Photo/Video/Audio/Artwork Recording Filename(s): Location of photo/video/audio recording/artwork: Name of Person Accepting Work Submission:

Owner Signature. Owner Signature:

Owner Signature. Date: ______________ Employee Signature: ________________________________________________ Date: ______________

Owner Signature. Date: Operator: Date:

Owner Signature. Date: Date: Co-Owner Signature: (if applicable) Date: The undersigned hereby confirms this agreement to purchase the shares on the terms and conditions set forth herein and acknowledges and/or represents (or in the case of fiduciary accounts, the person authorized to sign on such subscriber’s behalf) each of the following: SECTION 5 : SUBSCRIBER ACKNOWLEDGMENTS AND SIGNATURES (d) (e) (f) (g) SECTION 6: TRUSTED CONTACT- OPTIONAL By completing this section, you authorize APPLIED DIGITAL Corporation and Preferred Capital Securities (PCS) to contact the person (s) named below for the following reasons: if there are questions or concerns about my whereabouts or health status; if suspected that I may be a victim of fraud or financial exploitation; if suspected that I might no longer be able to handle my financial affairs; to confirm the identity of any legal guardian, executor, trustee, authorized trader, or holder of a power of attorney; or if I am not reachable after prolonged and multiple attempts. Note: Your trusted contact must be someone other than an account owner. Name: Primary Phone: Address: Name: Primary Phone: Address: State: ZIP: Relationship: Email Address: City: Relationship: Email Address: City: State: ZIP: For help completing this form, please call Investor Services at 855.422.3223. APPLIED DIGITIAL CORPORATION | SUBSCRIPTION AGREEMENT