Please Print Name definition

Please Print Name. Address: Contract #:
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Please Print Name. Title: Agent: ECNG ENERGY L.P. Ontario Restaurant Hotel & Motel Association 000 - 0000 Xxxxx Xxxxxxx Xxxx Xxxxx 0-000, 0000 Xxxxxxx Xxx Burlington, ON L7L 6M1 Mississauga, ON L4W 5B2 Tel: (000) 000-0000 Fax: (000) 000-0000 Tel: (000) 000-0000 Fax: (000) 000-0000 Toll Free: 0(000) 000-0000 Please attach a copy of a utility bill for all accounts that you wish to include in the Natural Gas Program. If your account is being supplied by another supplier other than your utility, attach a copy of a release letter from that supplier. This is an application for a gas supply program not a price guarantee. To qualify for this program the End User must be a member of ORHMA in good standing.
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Please Print Name. Phone: ( ) - xxx@xxxxxxxxxxxxxxx.xxx Date:.
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Examples of Please Print Name in a sentence

  • Please Print Name Signature This signed document shall remain in effect for a period of one (1) year from the date of signature of for the contract period, whichever is longer.

  • Name of Client – Please Print Signature Date Name & Title – For Entity Accounts – Please Print Name of Joint Client – Please Print Signature of Joint Client Date231 S.

  • Please Print Name: High School: _ Graduation Date: Social Security Number _ Xxxxx State ID: Phone Student’s Signature: _ Date: _ *********************************************************************************** High School Program Teacher: Please initial and indicate by marking an “X” in the box(s) for the course or courses you recommend this student be given credit for or for which you encourage proficiency testing.

  • Please Print) Name of Insured or Owner (if assigned) Daytime Phone No. Street Address City State Zip Code Signature of Insured or Owner (if assigned) Date Signed Submit Completed Form To Employer and Retain a Copy for Your Records G.BENE–DES JY6004 (03/07)GENERAL BENEFICIARY INFORMATIONYou may find the following definitions helpful in completing your Beneficiary Designation form.

  • Name of Agency/Company/Firm (Please Print) Name and title of authorized representative (Please Print) Signature of authorized representative Date [ ] I am unable to certify to the above statements.

  • Owner/Lessor Owner/Managing Agent Information for Tenant (Please Print): Name Street Apt.

  • CLEC shall also rearrange or remove its unauthorized facilities at AT&T MISSOURI’s request to comply with applicable placement standards and shall remove its facilities from any space occupied by or assigned to AT&T MISSOURI or another entity within 30 days of receiving notice to do so.

  • Family Name (Please Print) Name of child/children Permission Denied (Signature of Parent/Guardian) Date Furthermore, I acknowledge that there may be occasions that my child is photographed or videotaped at a School/Parish/Diocesan public event during such time as my child is either a participant or spectator.

  • After activation of the platelets which are trapped within fibrin matrix, growth factors are released and stimulate the mitogenic response in the bone periosteum during normal wound healing for repair of the bone.

  • Date: Individuals: Entities: Name of Individual Seller (Please Print) Name of Entity (Please Print) Signature of Individual Seller Print Name and Title of Officer Name of Joint Individual Seller (Please Print) Signature of Officer Signature of Joint Individual Seller Signature of Buyer/Joint Buyers The undersigned Buyer (s) hereby certifies (certify) that the representations and warranties in this Unit Transfer Agreement and Application Form are true and correct.


More Definitions of Please Print Name

Please Print Name. Child’s D.O.B ( / / )
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Please Print Name. Clearly: Signed: Dated:
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Please Print Name. Date: Authorized Signer of Foundation Fund (Directors, Deans, etc. with approval authority): Signature: Date: BC Foundation Treasurer: Signature: Date: Campus Director of Human Resources: Signature: Date:
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Please Print Name. Dated: , 200__ * If you are executing this Questionnaire on behalf of a corporation (or other legal entity) or as an executor or custodian or in any other representative capacity, please state the exact title of the capacity in which you are acting. EXHIBIT A — DEFINITIONS Before you complete the Questionnaire, please carefully review the following definitions of various terms used in the Questionnaire.
Sample 1
Please Print Name. Signature: _________________________________ Date: _________________________________ If the undersigned is a corporation, partnership or other legal entity: Please Print Name of Entity: _________________________________ By (Please Print Name): _________________________________ Signature: _________________________________ Title: _________________________________ Date: _________________________________ EXHIBIT C TRUSTEE’S FEE SCHEDULE $5,000 Initial Fee at Closing $3,500 Annually each March 1st beginning March 1, 2006 (includes 10 free Debenture transfers per year; $25 per transfer thereafter) EXHIBIT D ISSUER’S WRITTEN REQUEST $5,500,000 7 1/2% Debentures, Series 2005 (“Debentures”) PURE ENERGY GROUP, INC. (and its subsidiary) Written Request No. 1 The undersigned, Authorized Pure Energy Group, Inc. and Pure Gas Partners II, L.P. Representative (collectively, the “Company”), pursuant to Section 5.04 of the Trust Indenture (“Indenture”) between Company and First Security Bank, Searcy, Arkansas Trustee (“Trustee”), dated as of March 1, 2005, hereby requisitions funds from the Project Fund in the amount of $__________and for the purposes set forth below pursuant to Section 5.03 of the Indenture: AMOUNT: PAYEE (with payment address and instructions): PURPOSE: PURE ENERGY GROUP, INC. Xxxxx X. Xxxxxxx, CEO Date: ____________________________ PURE GAS PARTNERS II, L.P. By: Pure Energy Group, Inc., its General Partner Xxxxx X. Xxxxxxx, CEO and Authorized Issuer Representative Date: _____________________________
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Please Print Name. Signature: _________________________________ Date: _________________________________ If the undersigned is a corporation, partnership or other legal entity: Please Print Name of Entity: _________________________________ By (Please Print Name): _________________________________ Signature: _________________________________ Title: _________________________________ Date: _________________________________ The Debentures will not be sold in violation of the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, as amended, or in violation of any securities laws of any state and then only in compliance with Rule 144A under the Securities Act of 1933, to the extent applicable. Specifically, resales may only be made to Qualified Institutional Buyers as such term is defined in Rule 144A, or otherwise as allowed by applicable state and federal securities laws at such time. ACCREDITED INVESTOR CONFIRMATION The categories of Accredited Investor include:
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Related to Please Print Name

  • Print Name Signature: Date:

  • Contact Name Date: Address: Phone: City: State: Zip Code: Email: Credit card Check

  • Common name means any designation or identification such as code name, code number, trade name, brand name or generic name used to identify a chemical other than by its chemical name.

  • s Name Property Address: _________________________________________________________

  • Property Name Property Address: Control No.: The Mortgage File should be delivered to the following: ________________________________________ ________________________________________ ________________________________________

  • Residential address means the physical location where the student’s parents, legal guardians, persons having legal, lawful control of the student under order of a court, or persons standing in loco parentis reside. A student may use the residential address of a legal guardian, person having legal, lawful control of the student under order of a court, or person standing in loco parentis only if the student resides at the same residential address and if the guardianship or other legal authority is not granted solely for educational needs or school attendance purposes.

  • User Name means any user name allocated to the Customer for access to the Services;

  • Company Name Address: Attention: Tel: Fax: Email: If sent to Cornell: For all correspondence except payments Center for Technology Licensing at Cornell University Attention: Executive Director 000 Xxxx Xxxx Xxxx, Xxxxx 000 Xxxxxx, XX 00000 FAX: 000-000-0000 TEL: 000-000-0000 EMAIL: xxx-xxxxxxxxx@xxxxxxx.xxx For all payments – If sent by mail: Center for Technology Licensing at Cornell University XX Xxx 0000 Xxxxxx, XX 00000-0000 If remitted by electronic payments via ACH or Fed Wire: Receiving bank name: Xxxxxxxx Trust Co. Bank account no.: 0111000065 Bank routing (ABA) no.: 000000000 SWIFT code: Bank account name: XXXXXX00 Cornell University Bank ACH format code: Not required Bank address: X.X. 000, Xxxxxx, XX 00000 Additional information: Reference D-4730 Agreement No.: <to be assigned> An email copy of the transaction receipt shall be sent to xxx-xxxxxxxxx@xxxxxxx.xxx. Licensee is responsible for all bank charges of wire transfer of funds for payments. The bank charges shall not be deducted from the total amount due to Cornell.

  • Email Address means a current valid email address.

  • Project Name refers to the project title as stated in the legal agreement (Financing Agreement) between the World Bank and the Government. It should not be confused with the name of the UN Agency’s project or program financed from other sources.]

  • IP Address means a unique number on the Internet of a network card or controller that identifies a device and is visible by all other devices on the Internet.

  • business name or "trade name" means the name of a licensed business as used by the licensee on signs and advertising.

  • id means identification.

  • home address , in relation to a person, means—

  • Master Street Address Guide or "MSAG" is a database of street names and house number ranges within their associated communities defining particular geographic areas and their associated ESNs to enable proper routing of 911 calls. "Meet Point" is a point of Interconnection between two (2) networks, designated by two (2) Telecommunications Carriers, at which one Carrier's responsibility for service begins and the other Carrier's responsibility ends.

  • Halifax Abuse Principle means the principle explained in the CJEU Case C-255/02 Halifax and others;

  • Biller means an organisation which tells you that you can make payments to them through the BPAY Scheme.

  • Electronic mail address means a destination, commonly expressed as a string of characters, consisting of a unique user name or mailbox (commonly referred to as the “local part” of the address) and a reference to an internet domain (commonly referred to as the “domain part” of the address), whether or not displayed, to which electronic mail can be sent or delivered.

  • Service address means the service address of a member or the body corporate in terms of rule 4; and

  • Class Member Address Search means the Administrator’s investigation and search for current Class Member mailing addresses using all reasonably available sources, methods and means including, but not limited to, the National Change of Address database, skip traces, and direct contact by the Administrator with Class Members.