Address Information Clause Samples

Address Information. For individual subscribers this address should be the Purchaser’s primary legal residence. For entities other than an individual Purchaser, please provide address information for the entities primary place of business. Information regarding a joint subscriber should be included in the column at right. Legal Address Legal Address City, State, and Zip Code City, State, and Zip Code I______________________ am the ___________________________ of ___________________________ (the “Entity”). I certify that I am empowered and duly authorized by the Entity to execute and carry out the terms of the Securities Purchase Agreement and to purchase and hold the Notes and Warrants, and certify further that the Securities Purchase Agreement has been duly and validly executed on behalf of the Entity and constitutes a legal and binding obligation of the Entity.

Address Information. The Tenant must at all times inform the Landlord if the Tenant's address or the Guarantor's address, contact telephone number or email changes. The Landlord will use the address and contact details provided at the outset for all purposes, including enforcement of the terms of the tenancy unless and until a valid UK replacement address is provided in writing.

Address Information. Enter the employer or third-party provider’s address where child support agencies should mail paper NMSNs. Address Line 1: * Address Line 2: City: * State: * ZIP Code:* ZIP Code Extension - (Enter a five-digit ZIP code and the optional four-digit extension.)

Address Information. For individual subscribers this address should be Subscriber’s primary legal residence. For entities other than individual subscribers, please provide address information for the entities primary place of business. Information regarding a joint subscriber should be included in the column at right. _________________________________ Legal Address _________________________________ Legal Address _________________________________ City, State, and Zip Code _________________________________ City, State, and Zip Code _________________________________ Tax ID # or Social Security # _________________________________ Tax ID # or Social Security # Alternate Address Information (if applicable) _________________________________ Alternate Address for Correspondence _________________________________ Alternate Address for Correspondence _________________________________ City, State and Zip Code _________________________________ City, State and Zip Code _________________________________ Telephone _________________________________ Telephone _________________________________ Facsimile _________________________________ Facsimile _________________________________ Tax ID # or Social Security # _________________________________ Tax ID # or Social Security #

Address Information. For individual subscribers this address should be the Subscriber’s primary legal residence. For entities other than individual subscribers, please provide address information for the entities primary place of business. Information regarding a joint subscriber should be included in the column at right. Legal Address Le▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇, ▇▇▇ ▇▇▇▇▇▇▇▇▇ City, State, and Zip Code City, State, and Zip Code AGREED AND SUBSCRIBED ACCEPTED This ___ day of _________, 2018 This ___ day of _______, 2018 By: By: Name: Ia▇ ▇▇▇▇▇▇▇▇ Name: Pa▇▇▇▇▇ ▇▇▇▇▇▇▇▇ Title (if any): Title: Chief Executive Officer I, ___________________, am the ________________ of ____________________ (the “Entity”). I certify that I am empowered and duly authorized by the Entity to execute and carry out the terms of the Securities Purchase Agreement and to purchase and hold the Note and Warrants, and certify further that the Securities Purchase Agreement has been duly and validly executed on behalf of the Entity and constitutes a legal and binding obligation of the Entity.

Address Information. Please provide current contact information below. Home Street Address City, State, ZIP Code Telephone Number Email Address your monetary cash benefit.

Address Information. Please provide your name and contact information below. Full Name Home Street Address City, State, ZIP Code Telephone Number Email Address Please click here to proceed to Section F [Go to Section F]to select how to receive the Class Benefit.

Address Information. We consider Client mailing lists and documents to be private information. All document and list files submitted will be used solely to produce Client’s mailings. Electronic information submitted is securely stored only for the time specified in our Terms of Service after such time data is purged from our system. All information, data, text, software, photographs, graphics, messages or other materials (“Content”) the Clients upload, post, using the Site is solely their responsibility. ▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ will routinely retain the Content for at least ten (10) years and will use such Content only in accordance with this Agreement and the ▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ Privacy Policy. Client must evaluate and bear all risks associated with the use of any of their Content and mailing of their Printed Material. We will not routinely screen or review text or graphics before printing and mailing Printed Material. We cannot nor do we try to control the content of Printed Material created on the Site. Client is solely responsible for and assume all liability arising from all Printed Material that Client and any other person using their User Name and Password to print and mail using the Site. Client represents and warranties to ▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ that: (I) Client authorized users have the full right, power, and authority to perform any function with relation to the Content (including without limitation uploading, posting, reproducing, distributing, publicly displaying and making derivative works from the Content) that Client or they perform using ▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ services.

Address Information. Mail information and phone lists may be published for the use of Pan-American School community (staff and parents)