Signature of Client definition
Examples of Signature of Client in a sentence
Print Client #1 Name Signature of Client #1(or authorized representative) Date Print Client #2 Name Signature of Client #2 Date (or authorized representative) (for Clients under 18 years of age) As the legal guardian of : , I agree, consent that my child (named above) may participate in counseling/psychotherapy with ▇▇▇▇▇ ▇▇▇▇▇, LMFT.
Signed at on 2023 Authorised Signature of ProfNet Full name Signed at on 2023 Authorised Signature of Client Full name Email: ▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇.▇▇ Website: ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇.▇▇ Initials & Surname First name Practice name Practice number (BHF / PCNS no) Contact person Telephone number and E-mail address All pricing is inclusive of 15% VAT and are subject to change.
Signature of Client Date Signature of Parent/legal guardian Signature of Counselor Instructions: Please complete the following information about your child and family.
Signature of Client: Printed Name: Date: The purpose of this Stock Locate Agreement (the “Agreement”) is to ensure that you understand and agree to the terms and conditions associated with selling securities short.
The Electronic Signature of Client or a Client’s representative (each, a “Signer”) on any document executed in accordance with this Section has the same legal effect, validity, and enforceability as a manual signature.
Signature of Client Date: Printed Name of Client I, ▇▇▇▇▇▇▇ ▇▇▇▇▇ LCSW, have discussed the issues above with the client (and/or his or her parent or guardian).
FRESNO COUNTY EMPLOYEES’ RETIREMENT ASSOCIATION By (Signature of Client) (Title if Applicable) By (Signature of Client) (Title if Applicable) Approved as to legal form: ▇▇▇▇▇ ▇.
By the Applicant: AIAS and AIAS Chapter Acceptance: Signature of Client Signature of Chapter, FBD Team Leader, or other Authorized Representative Printed Name Printed Name Date Date Phone Number Release Form A This RELEASE AGREEMENT is entered into between the American Institute of Architecture Students (“AIAS”), the AIAS Chapter at (the “Chapter”) and me, (the “Client”).
Signature of Client, Parent/Grandparent/Legal Guardian of Minor Signature of Advocate Date In consideration of the free services being provided to me in connection with my questions about or need to secure a voter ID, I, I agree that the sole method of resolving any dispute among VoteRiders, the Partner Organizations, any of the above-mentioned persons or entities and myself will be mediation.
Signed at on 2024 Authorised Signature of ProfNet Full name Signed at on 2024 Authorised Signature of Client Full name Email: ▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇.▇▇ Website: ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇.▇▇ Initials & Surname First name Practice name Practice number (BHF / PCNS no) Contact person Telephone number and E-mail address All pricing is inclusive of 15% VAT and are subject to change.