Meeting Attendance Declaration

MEETING ATTENDANCE DECLARATION

Declarant Name:    Organization:

Meeting Title:    Meeting Date:    Time:

WHEREAS

WHEREAS, Declarant has been requested by Organization to attend the meeting described above and to provide attendance, observation and any agreed deliverables in connection with the meeting; and

WHEREAS, Organization requires written confirmation of attendance, scope of participation and any applicable fees, reimbursements, or time records associated with such attendance; and

WHEREAS, the parties desire to set forth the terms governing the attendance, any compensation, confidentiality obligations and the effective term of this declaration as a binding statement for administrative and record-keeping purposes.

SCOPE OF ATTENDANCE

Declarant shall attend the meeting and perform the duties and responsibilities described below. Declarant acknowledges that services are limited to attendance, participation, and any deliverables expressly described herein.

PAYMENT TERMS

Organization shall pay Declarant for attendance in accordance with the fee structure set forth below. All payments are due in United States dollars unless otherwise agreed in writing. If payment is not made when due, a late fee as described below will apply and interest shall accrue in addition to any other remedies available at law.

Reimbursable expenses strictly limited to pre-authorized costs will be paid upon submission of receipts and an itemized statement. Organization reserves the right to withhold payment for fees or expenses that are inconsistent with the agreed scope.

TERM AND TERMINATION

This Declaration is effective as of the Start Date below and shall remain in effect through the End Date below unless earlier terminated pursuant to the provisions herein. Either party may terminate for convenience upon written notice as set forth below; termination for cause may be immediate if the other party materially breaches any obligation and fails to cure within the notice period.

Start Date:    End Date:    Notice Period for Termination (days):

Upon termination, Organization will pay for any undisputed fees or pre-approved expenses earned through the effective date of termination. Termination does not relieve either party of obligations incurred prior to termination, including confidentiality obligations.

CONFIDENTIALITY

Declarant acknowledges that during and after attendance, Declarant may receive confidential information of Organization. Declarant shall not disclose, use, publish or disseminate such confidential information except as required to perform the duties described in this Declaration or as authorized in writing by Organization. The obligations in this clause survive termination for a period of three (3) years, unless a longer statutory period applies.

GOVERNING LAW

This Declaration shall be governed by and construed in accordance with the laws of the jurisdiction identified below, without regard to its conflict of law principles.

ENTIRE AGREEMENT

This Declaration, together with any attachments or written exhibits expressly incorporated by reference, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, proposals, and communications, whether written or oral. Any amendment must be in writing and signed by authorized representatives of both parties.

DECLARATION OF ATTENDANCE

I hereby declare under penalty of perjury and administrative sanction that I personally attended the meeting identified above and performed the duties set forth in the Scope of Attendance. I certify that the information provided in this Declaration is true, complete, and accurate to the best of my knowledge.

By checking the box below, Declarant affirms attendance and acknowledges the statements and obligations contained in this Declaration.

I confirm that I attended the meeting and that the information herein is accurate.

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