Business Affiliation Requirements

BUSINESS AFFILIATION REQUIREMENTS

Client Name:    Doing Business As:

Principal Business Address:

Primary Contact:    Phone:    Email:

Recitals

WHEREAS, the Client seeks to become an affiliated business under the policies and procedural standards set forth by the Principal for purposes of cooperative marketing, referrals, and joint operations; and

WHEREAS, the Principal has established objective affiliation requirements intended to ensure that affiliates maintain professional standards, statutory compliance, and financial responsibility; and

WHEREAS, the Client represents that it will comply with the procedures and deliver the documentation necessary to validate eligibility for affiliation under the terms of this Agreement.

Scope of Work

The Client shall perform and maintain the business operations described below in a manner consistent with the Principal's standards and applicable law. The Client shall promptly provide evidence of ongoing compliance as requested.

Affiliation Requirements

The Client must meet and maintain the following requirements as a condition of affiliation. Failure to satisfy these requirements constitutes grounds for suspension or termination of affiliation.

Payment Terms

The Client agrees to pay fees required for application, processing, or ongoing affiliation as follows. Late payments constitute default and permit suspension of services.

Term and Termination

This Agreement becomes effective on the Effective Date and remains in force until terminated in accordance with this section.

Effective Date:    Term Expiration Date:

Confidentiality

The parties acknowledge that certain information exchanged in the course of affiliation constitutes Confidential Information. "Confidential Information" means non-public business, financial, technical, customer and pricing information disclosed in any form by either party.

Each party shall (a) use Confidential Information solely for the purposes permitted under this Agreement; (b) restrict disclosure to employees, agents or contractors with a need to know and subject to obligations of confidentiality no less stringent than this section; and (c) take reasonable measures to protect Confidential Information from unauthorized disclosure. Confidential Information does not include information that is publicly available through no breach of this Agreement, independently developed without use of the other party's Confidential Information, or required to be disclosed by law, provided notice is given where permissible.

Breach of this confidentiality obligation may cause irreparable harm for which monetary damages are inadequate; the disclosing party is therefore entitled to seek injunctive relief in addition to any other remedies.

Representations and Warranties

Each party represents and warrants that it has the authority to enter into this Agreement, that execution and performance do not violate any other agreement or law, and that it will perform its obligations in a professional and workmanlike manner consistent with industry standards.

Governing Law

This Agreement shall be governed by and construed in accordance with the laws of the State of , without regard to conflict of law principles.

Entire Agreement

This document, together with any attachments and schedules expressly incorporated herein, constitutes the entire agreement between the parties concerning affiliation and supersedes all prior and contemporaneous agreements, representations and understandings, whether written or oral. No amendment shall be effective unless in writing signed by authorized representatives of both parties.

Acknowledgment and Certification

By submitting this form and executing below, the Client certifies that all information provided is true, accurate and complete to the best of its knowledge, and agrees to comply with the requirements and procedures set forth in this Agreement. The Client consents to reasonable verification and audit of submitted documentation.

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