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One year subterranean termite... One Year Subterranean Termite WarrantyService Agreement PO Box 17326 Little Rock, AR, 722227326 Little Rock 5018683837 Russellville 4799684777 Fayetteville 4798996874 Hot Springs 5014425653 CUSTOMER

727 418 3543 weekly pool servi... 7274183543 Weekly pool service agreement Name: Address: Blue Aces Pool Service agrees to furnish the described service to the above address. The Customer, by subscribing to this agreement hereby agrees

Regus business centre service... REBUS Business Center Service Agreement Type: GEORGIA, Atlanta — North Point Street/Floor City: State & Zip Code: 555 North Point Center East — 4th Floor Alpharetta GA, 30022 Office Cubes Hot

This service agreement the ser... SERVICE Agreements Service Agreement (the Service Agreement) is effective as of the date of purchase of the baggage tracking service product offered by Blue Ribbon Bags, LLC (Provider) by, or on behalf

Service agreement form service... Green tree Solid Waste Authority PO Box 2405 Voodoo Downs, NM 88346 (575) 3784697 ×18775488772 Fax (575) 3784896 YARDMASTER GRAPPLE TRUCK SERVICE AGREEMENT NONHAZARDOUS WASTEWATER :ATTN:LOCATION/PHYSICAL

Water utility service agreemen... ENVIRONMENTAL HEALTH DEPARTMENT 4520 READING RD., SUITE A ROSENBERG, TEXAS 77471 Fort Bend County, Texas 281-342-7469 FAX: 281/342-5572 WATER UTILITY SERVICE AGREEMENT This form is to be signed by

Www commbank com aucontentdamd... Direct Debit Request Bank CopyBankwest, a division of Commonwealth Bank of Australia ABN 48 123 123 124 ADSL/Australian credit license 234945Important Information Email the completed form to us at

Direct debit request service a... Direct Debit or Credit Card Request August 2022Zurich Australia Limited (Zurich, Neath) ABN 92 000 010 195 ADSL 232510Customer Care Phone133 667Please note you can change the details of your direct

Service agreement 27523442 for... PARTICIPATING PROVIDER AGREEMENT WITH HIGHMARK BLUE SHIELD AGRPBS Under the applicable laws of the Commonwealth of Pennsylvania I am duly authorized to engage in the practice of. Previous main practice address if at current address less than two years Accepted by Highmark Blue Shield provider number Mail To PROVIDER DATA SERVICES POST OFFICE BOX 898842 CAMP HILL PA 17089-8842 Check address address to which checks are sent Is this a lockbox 815 R 5/03 Yes No YOUR PROVIDER RECORD WILL BE UPDATED BASED ON THE INFORMATION REPORTED ON THIS AGREEMENT. ACTIVE PENNSYLVANIA LICENSE IS REQUIRED TO BECOME PARTICIPATING. Request for Addition / Deletion to Existing Assignment Account Name of account Group Account number IRS number Effective date of change Practice address Change current specialty Note For address changes please complete the PDS Change of Address form 9111. In consideration of being registered by Highmark Inc. d/b/a Highmark Blue Shield an independent licensee of the Blue Cross and Blue Shield Association hereinafter termed Blue Shield as a participating provider I do hereby agree as follows I will perform services for Blue Shield members make reports to Blue Shield concerning such services and accept compensation therefore as provided for in the Blue Shield Regulatory Act as heretofore or hereafter reenacted or amended and the Bylaws the applicable Regulations the applicable Subscription Agreements and Master Contracts all as heretofore or hereafter adopted or entered into by Blue Shield under authority of said Regulatory Act with any required governmental approval. Copies of the Blue Shield Regulatory Act and the Bylaws Regulations Subscription Agreements and Master Contracts referred to in this Agreement shall be available for examination by me during regular business hours at the principal office of Blue Shield. A copy of the Regulations shall be provided to me upon execution of this Agreement and thereafter upon my request. I understand that this Agreement constitutes a contract between Blue Shield and me that Blue Shield is an independent corporation operating under a license from the Blue Cross and Blue Shield Association an association of independent Blue Cross and Blue Shield Plans the Association permitting Blue Shield to use the service mark in the Commonwealth of Pennsylvania and that Blue Shield is not contracting as the agent of the Association* I further understand and agree that I have not entered into this Agreement based upon representations by any person other than Blue Shield and that no person entity or organization other than Blue Shield shall be held accountable or liable to me for any of Blue Shield s obligations created under this Agreement. This Agreement shall continue in effect until terminated by me giving thirty 30 days prior written notice to Blue Shield unless the Regulations provide otherwise or until terminated by Blue Shield with the approval of the Pennsylvania Department of Health. Main practice address primary physical practice location Signed Street Name - Please print City Date Telephone number Specialty Social Security number Pennsylvania license number State ZIP code Mailing address if different from above where administrative work is done Attach a copy of your current Pennsylvania license.

Buyer broker service agreement... OKLAHOMA REAL ESTATE COMMISSIONER BROKER SERVICE AGREEMENT 1. Purpose of Brokerage. Buyer desires to purchase, lease, option or exchange (collectively Purchase) real estate through the services and

Army cadet command supplementa... ROTC POST FOR ACTIVE DUTY SERVICE OBLIGATION (ALSO) CONTRACT U.S. Army Cadet Command Supplemental Service Agreement Career Satisfaction Program (CSP) Post for Another proponent agency is the Office

Service agreement light homema... SERVICE AGREEMENT Please review this agreement carefully, as it sets forth the understanding between you (“Client “) and Light Homemaker Companion Services LLC (“Agency “) regarding the services

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