Representative Signature definition

Representative Signature. Date: ________________________
Representative Signature. Date: Recruited By (if applicable): MyMFG #: Marketing Director Signature: Date: Contract Level: Manager Signature: Date: Authorized MFG Signature: Date: THIS Contract sets out the complete agreement by and between XXXXXX FINANCIAL GROUP, INC. of Charlotte, NC, herein called“MFG”, and , herein called “Agent”. By signing this Contract, the Agent agrees to be bound by its, and any similarly executed addendums,attachments or schedules, that may be executed and made a part of this Contract. MFG expects to maintain agreements for services with insurance companies, herein called “COs” which are necessary to enable you to solicit applications for insurance. WHEREIN IT IS MUTUALLY AGREED UPON AS FOLLOWS:
Representative Signature. Date: Supervisory Principal Review:

Examples of Representative Signature in a sentence

  • Alternate Representative Signature of Bidder Or Officer authorized to sign the bid on behalf of the bidder.

  • No.: Fax No.: Email: Bidder’s Authorized Representative Signature OverPrinted Name: Date: Amount of Quotation (In Words)Php Instruction: To all bidders, please fill-out all the necessary information required in the boxes of the above Bidder’s Profile/Quotation Form.

  • Bidder’s Authorized Representative Signature over Printed Name SUBSCRIBED AND SWORN TO BEFORE ME this day of at, Philippines.

  • Authorized Representative Signature Date Print Name M/WBE 105AREQUEST FOR WAIVER FORM BIDDER/APPLICANT NAME:TELEPHONE:EMAIL:ADDRESS:FEDERAL ID NO.:CITY, STATE, ZIPCODE:RFP#/PROJECT NO.: INSTRUCTIONS: By submitting this form and the required information, the bidder/applicant certifies that Good Faith Efforts have been taken to promote M/WBE participation pursuant to the M/WBE goals set forth under this RFP/Contract.

  • Name of Respondent’s Organization Printed Name of Organization’s Authorized Representative Signature of Organization’s Authorized Representative DateFORM 5 – DRUG FREE WORKPLACE CERTIFICATION IDENTICAL TIE PROPOSALS – Preference will be given to businesses with drug free workplace programs.

  • Organization Name Address, City, State, and Zip Code Phone & Fax Email Address Printed Name and Title of Authorized Representative Signature Date The State of Texas has passed a law concerning non-resident Companies.

  • Name of Bidder: Date: By Authorized Representative: Signature: Print Name & Title: FRANKLIN TOWNSHIP, COUNTY OF SOMERSET STATEMENT OF OWNERSHIP DISCLOSUREN.J.S.A. 52:25-24.2 (P.L. 1977, c.33, as amended by P.L. 2016, c.43)This statement shall be completed, certified to, and included with all bid and proposal submissions.

  • Name of Bidder: Date: By Authorized Representative: Signature: Print Name & Title: COUNTY OF SOMERSETBID PROPOSAL FORM/SIGNATURE PAGE TO THE COUNTY OF SOMERSET BOARD OF CHOSEN FREEHOLDERS: The undersigned declares that he/she has read the Notice, Instructions, Affidavits and Scope of Services attached, that he/she has determined the conditions affecting the bid and agrees, if this bid is accepted, to furnish and deliver services.

  • Preferably, a contact name should also be included.Patient or Representative Signature: Have the patient or representative sign the notice to indicate that he or she has received it and understands its contents.Date/Time: Have the patient or representative place the date and time that he or she signed the notice.

  • Name of Authorized Representative: Signature: Title: Date: NOTARY:State of _ , County of _ Subscribed and sworn to before me this _ _ day of _ 20 [ Stamp]Notary Public: My commission expires _ ATTACHMENT I: ALCOHOL/DRUG-FREE WORK PLACE POLICY‌ POLICY It is the policy of the Department of Public Safety to provide a work environment free of alcohol and drugs in order to ensure the safety and well-being of employees, correctional clientele, and the general public.


More Definitions of Representative Signature

Representative Signature. Pan Hai Position: Date: April 1, 2005 Address: Telephone: Fax: Xxxxl: Signature with valid stamp Channel Partner: (stamp) Shenzhen Hengtaifeng Technology Co., Ltd. Representative (print) Signed: representative of LENOVO Position: Date: March 31, 2005 Address: No.5 Floor 6, Block A, Skyworth Building, Hi-tech Industrial Parx, Xxxxxxx Xxxxxxxx, Xxxxxxxx Xxxxxxxxx: 00000000 Xxx: 00000000 Xxxxx: xxxx@xxx.xxx.xx Coopexxxxxx Xgreemenx xx Xxxvice Chanxxx xxxx XXXXXX (Master Agreement) The Cooperation Agreement of Service Channel with LENOVO ("the Agreement"/"Master Agreement") is signed by the two parties as indicated on the first page: LENOVO Corporation (hereinafter referred to as LENOVO) and its Service Channel partner (hereinafter referred to as Your Company). According to the Agreement, Your Company is authorized to be the service channel for the Product of LENOVO.
Representative Signature. Representative Signature: Jianmin Gao
Representative Signature s/ Xxxx Xxx

Related to Representative Signature

  • Your Signature (Sign exactly as your name appears on the face of this Note)

  • Authorized Representatives means those persons shown on the list of officers provided by the Borrower pursuant to Section 3.2(a)(iv) hereof or on any update of any such list provided by the Borrower to the Administrative Agent, or any further or different officers of the Borrower so named by any Authorized Representative of the Borrower in a written notice to the Administrative Agent.

  • Representative means with respect to a particular Person, any director, officer, manager, employee, agent, consultant, advisor, accountant, financial advisor, legal counsel or other representative of that Person.

  • Applicable Authorized Representative means, with respect to any Shared Collateral, (i) until the earlier of (x) the Discharge of Credit Agreement Obligations and (y) the Non-Controlling Authorized Representative Enforcement Date, the Administrative Agent and (ii) from and after the earlier of (x) the Discharge of Credit Agreement Obligations and (y) the Non-Controlling Authorized Representative Enforcement Date, the Major Non-Controlling Authorized Representative.

  • 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;

  • Representatives means, with respect to any Person, such Person’s directors, officers, members, partners, managers, employees, agents, investment bankers, attorneys, accountants, advisors and other representatives.

  • Representative Plaintiffs means Plaintiffs Xxxxx Xxxxxxx, Xxxxxxx Xxxxxxx, and Xxxxxx X. Xxxxx.

  • Authorized Representative means any representative appointed, from time to time, by the Client, the Purchaser or the Contractor.