Client Policies Receipt

CLIENT POLICIES RECEIPT

Client Name:

Date of Receipt:

WHEREAS

WHEREAS, Service Provider delivers professional services and maintains written policies governing payment, cancellations, confidentiality, client conduct, data handling, and other administrative procedures; and

WHEREAS, Client acknowledges that receipt and understanding of these policies is a condition precedent to the provision of services and is necessary to establish mutual expectations concerning performance and payment;

WHEREAS, the parties desire to confirm in writing that Client has received, reviewed, and accepted the policies described in this receipt and incorporated materials.

SCOPE OF APPLICABLE POLICIES

The policies set forth and attached to this receipt govern the parties' working relationship for the services described below. Client acknowledges receipt of the policies listed and any related procedural appendices.

PAYMENT TERMS

Client agrees to the payment obligations described below. All amounts are due in United States dollars unless otherwise stated.

TERM AND TERMINATION

The operative term for the application of these policies shall begin on the Effective Date below and continue until the completion of the Scope of Work or earlier termination as provided herein.

Term Start Date:    Term End Date:

Either party may terminate the services for cause upon material breach if the breaching party fails to cure such breach within the notice period set forth above. Termination shall not relieve Client of the obligation to pay for services rendered and non-cancellable costs incurred prior to termination.

CONFIDENTIALITY

Each party shall treat as confidential all information designated as confidential or that reasonably should be understood to be confidential given the nature of the information and the circumstances of disclosure. Confidential information shall not be disclosed to third parties or used except as necessary to perform the services, except as required by law. The obligations of confidentiality survive termination for a period of two (2) years unless otherwise agreed in writing.

GOVERNING LAW

This receipt and any dispute arising out of the policies acknowledged herein shall be governed by the laws of the state identified below, without regard to conflict-of-law principles.

ENTIRE AGREEMENT

This document, together with any attached policies and appendices expressly incorporated herein, constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior and contemporaneous agreements, proposals, and communications, whether written or oral, relating to such subject matter.

CLIENT ACKNOWLEDGMENT OF POLICIES

Client confirms receipt and review of the following policies (check each box to acknowledge receipt and understanding). Checking a box affirms that the Client has had an opportunity to ask questions and understands the policy terms.

Privacy Policy (confidentiality and data handling)

Payment and Billing Policy (fees, schedule, refunds)

Cancellation and No-Show Policy

Client Conduct and Safety Policy

Data Retention and Recordkeeping Policy

By signing below, Client acknowledges receipt of the policies identified in this receipt, agrees to abide by those policies while services are provided, and acknowledges that failure to comply may result in suspension or termination of services, collection action for unpaid fees, and other remedies as set forth in the applicable policies.

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