INTEGRATED WHOLESALE DISTRIBUTOR MEMBERSHIP APPLICATION

Size: px
Start display at page:

Download "INTEGRATED WHOLESALE DISTRIBUTOR MEMBERSHIP APPLICATION"

Transcription

1 INTEGRATED WHOLESALE DISTRIBUTOR MEMBERSHIP APPLICATION Any whlesale distributin business fr HVACR equipment, parts and/r accessries which perates as a subsidiary f a nnwhlesaling incrprated business entity such as a manufacturer, mass merchandiser, entity, energy prvider, cnslidatr r e-cmmerce business, and whse crprate parent maintains Supplier Membership is eligible t make applicatin fr Integrated Whlesale Distributr Membership. Additinally, said whlesaler shall have cmpleted and can verify cmpletin f a minimum f ne year in business and shall nt engage in the service r cntracting f heating, refrigeratin r aircnditining equipment. (The crprate parent f the Integrated Whlesale Distributr making applicatin is required t maintain a Supplier Membership in the assciatin t ensure cntinued interactin with ther whlesale distributin members.) This membership classificatin prvides the fllwing benefits t the Integrated Whlesale Distributr: One vte fr each participating subsidiary in gd standing in the business f the assciatin Full participatin by each participating subsidiary in all prgrams and services f the assciatin Individual directry listings fr crprate and participating subsidiary including their respective branch lcatins Cmplete cmmunicatin f assciatin business t crprate parent and participating subsidiaries Any individual affiliated with, r emplyed by, an Integrated Whlesale Distributr is eligible t make applicatin, prvided such individual is in a psitin f plicy-level management fr the applicant cmpany.. Cmpleted applicatins shall be submitted t the HARDI ffices. Upn apprval f the applicatin by the Bard f Directrs and receipt f membership dues, the applicant shall becme a member. Whlesale distributr members in gd standing shall have the right t ne vte and t all ther rights and privileges f membership. Firm s funding date: # f years actively invlved in distributin f HVACR prducts: # f Emplyees Firm Name: # f Lcatins: Firm Address: Street City State/Prvince Zip Phne: ( ) Fax: ( ) Plicy-level Executive Filing Applicatin: Address: Name Web Address: Title Signature f Applicant (plicy-level executive) Date Hw did yu hear abut the benefits f jining HARDI? (Check all that apply) HARDI website Viewed a HARDI advertisement Current HARDI member referral Trade Press Publicatin? HARDI 445 Hutchinsn Ave., Ste. 550, Clumbus, OH Tll Free: PHONE: : acrks@hardinet.rg

2 It is required that yu as an applicant have a HARDI member as a spnsr. This spnsr may als be used as ne f yur references. Spnsr s Firm: Spnsr s Name: Whlesale Distributr Cmpany Infrmatin Please indicate yur primary business emphasis cde(s): CS Cntrls Specialist HY Hydrnic Heating REF Cmmercial Refrigeratin HVAC Equipment & Supplies ENG Engineered Prducts SM Sheet Metal & Supplies HARDI prvides each member rganizatin with several benefits, please indicate what benefit(s) are mst imprtant t yu: Affiliatin with Industry Assciatin Advcacy Benchmarking and Industry Data Educatin Netwrking/Meetings Membership Fees and Authrizatin Please remit yur cmpleted applicatin and $ initiatin fee. Each applicant understands that if fr any reasn their applicatin is nt accepted by the Bard f Directrs, the initiatin fee will prmptly be refunded in full. HARDI Attentin: Alyssa Crks 445 Hutchinsn Ave. Ste. 550 Clumbus, Ohi : (614) Credit Card Infrmatin: AmEx Discver MasterCard Visa Card Number: Expiratin: CVV # Name n the Card: Authrized Officer: Title: Date: Signature: Upn apprval f ur applicatin, the abve credit card may be charged fr ur pr-rated membership dues. Integrated Whlesale Annual Membership Dues: Integrated Whlesale Divisin Fee $7,000 Each Participating Whlesale Subsidiary $ 350 Please cmplete and sign the attached Affidavit in Supprt f Applicatin fr Membership in HARDI as an Integrated Whlesale Distributr. Dues based n HARDI s Fiscal Year January 1 December 31. First year dues, excluding initiatin fee, are calculated n mnths remaining in the fiscal year, nce the Bard f Directrs apprves the applicatin. Under Federal Law, cntributins r gifts t HARDI are nt tax deductible as charitable cntributins. Hwever, they may be deductible as rdinary and necessary business expenses. Dues are deductible as rdinary and necessary business expenses t the extent that they are nt utilized fr lbbying purpses. Under the Omnibus Budget Recnciliatin Act f 1993, HARDI must estimate the percent f dues which will be expended fr lbbying and ntify members f the amunt f their nn-deductible dues. Fr Fiscal Year 2018, we estimate this amunt t be 6% f yur dues. HARDI 445 Hutchinsn Ave., Ste. 550, Clumbus, OH Tll Free: PHONE: : acrks@hardinet.rg

3 Participating Subsidiaries Please list all participating subsidiaries that yu wish t be included in this applicatin, including cmpany name, address, prime cntact, etc. Each subsidiary will be individually inviced fr annual dues HARDI 445 Hutchinsn Ave., Ste. 550, Clumbus, OH Tll Free: PHONE: : acrks@hardinet.rg

4 Participating Subsidiaries (cnt.) HARDI 445 Hutchinsn Ave., Ste. 550, Clumbus, OH Tll Free: PHONE: : acrks@hardinet.rg

5 AFFIDAVIT IN SUPPORTOF APPLICATION FORMEMBERSHIP IN HARDI AS AN INTEGRATED WHOLESALE DISTRIBUTOR The undersigned, being first duly swrn n ath states: 1. ( Applicant ) is an applicant fr membership in Heating, Aircnditining & Refrigeratin Distributrs Internatinal (HARDI) in the Integrated Whlesale Distributr member categry. 2. The Applicant acknwledges that t qualify fr initial, and cntinuing, membership as an Integrated Whlesale Distributr, the Applicant shall: a. nt engage in the service r cntracting f heating, refrigeratin r air-cnditining equipment, b. be actively and respnsibly engaged in business fr a perid f at least ne year, c. be a whlesale distributin business fr HVACR equipment, parts and/r accessries which perates as a subsidiary f a nn-whlesaling incrprated business entity such as a manufacturer, mass merchandiser, energy prvider, cnslidatr r e-cmmerce business and whse crprate parent maintains Supplier membership in HARDI, and d. At all times meet the membership criteria. 3. The Applicant is rganized under the laws f as A crpratin, A limited liability Applicant, r Other entity, (describe) and is in gd standing in such state. 4. The undersigned states that the Applicant is nt engaged in the service r cntracting f heating, refrigeratin r air-cnditining equipment. 5. The undersigned states the Applicant des nt have any wnership r ther interest in, r any cntrl ver, anther entity (e.g., crpratin, limited liability Applicant, partnership, jint venture, etc.) which is engaged in the service r cntracting f heating, refrigeratin r air-cnditining equipment. 6. The undersigned states that the Applicant is (is nt) wned r cntrlled, in whle r in part, by any entity that is engaged in the service r cntracting f heating, refrigeratin r air-cnditining equipment. HARDI 445 Hutchinsn Ave., Ste. 550, Clumbus, OH Tll Free: PHONE: : acrks@hardinet.rg

6 7. The undersigned states that the Applicant shall ntify HARDI in writing within ten (10) business days fllwing any changes in the accuracy f any statements in this affidavit. If the facts made in this affidavit subsequently change r are n lnger true, r the Applicant ceases t meet the membership criteria, the Applicant acknwledges that its membership as an Integrated Whlesale Distributr member is subject t immediate cancellatin. 8. The undersigned states that he r she is authrized t give this affidavit n behalf f the Applicant and has persnal knwledge f the facts stated herein. SUBSCRIBED and SWORN t befre me this day f, 2018 Signature: Name: Title: NOTARY PUBLIC HARDI 445 Hutchinsn Ave., Ste. 550, Clumbus, OH Tll Free: PHONE: : acrks@hardinet.rg

SUPPLIER MANUFACTURER MEMBERSHIP APPLICATION

SUPPLIER MANUFACTURER MEMBERSHIP APPLICATION SUPPLIER MANUFACTURER MEMBERSHIP APPLICATION Any manufacturer f HVACR equipment, parts and/r accessries that sells t whlesalers is eligible t make applicatin fr Supplier Membership. Additinally, said supplier

More information

PROCESS FOR NATIONAL CAPITOL AREA GARDEN DISTRICTS, CLUBS AND COUNCILS CHOOSING TO FILE FOR 501(C)3 GROUP EXEMPTION

PROCESS FOR NATIONAL CAPITOL AREA GARDEN DISTRICTS, CLUBS AND COUNCILS CHOOSING TO FILE FOR 501(C)3 GROUP EXEMPTION PROCESS FOR NATIONAL CAPITOL AREA GARDEN DISTRICTS, CLUBS AND COUNCILS CHOOSING TO FILE FOR 501(C)3 GROUP EXEMPTION What is a grup exemptin letter? The IRS smetimes recgnizes a grup f rganizatins as tax-exempt

More information

ISA CERTIFIED ARBORIST APPLICATION

ISA CERTIFIED ARBORIST APPLICATION ISA CERTIFIED ARBORIST APPLICATION This applicatin must be received at least 12 WORKING DAYS prir t the date f the chapter r assciate rganizatin exam fr which yu are applying. There is n deadline fr the

More information

MICRO GROUP EMPLOYER DOCUMENTATION REQUIREMENTS

MICRO GROUP EMPLOYER DOCUMENTATION REQUIREMENTS Seattle, Washingtn 98101 MICRO GROUP EMPLOYER DOCUMENTATION REQUIREMENTS D nt cancel any existing plicies until yu receive cnfirmatin f final rates and/r acceptance f the grup by Regence BlueShield (Regence).

More information

APPLICATION FOR ADMISSION 2019

APPLICATION FOR ADMISSION 2019 APPLICATION FOR ADMISSION 2019 APPLICANT INFORMATION Last Name: First Name: Date f Birth: (mnth/day/year) Gender: Male Female Citizenship: Hme Cuntry Address: City: State/Prvince: Pstal Cde: Cuntry: E-mail:

More information

Steps toward Retirement

Steps toward Retirement Steps tward Retirement Eligibility, Actin Steps, and Benefit Optins fr Faculty and Staff Nearing Retirement Eligibility fr Official University Retiree Status The fllwing jb types f the University are eligible

More information

Hawaii Division of Financial Institutions 2019 Renewal Checklist

Hawaii Division of Financial Institutions 2019 Renewal Checklist Hawaii Divisin f Financial Institutins 2019 Renewal Checklist Instructins Renewal requests must be submitted thrugh by the date specified by yur state regulatr(s). Click here t review all renewal deadlines,

More information

Direct Entry Pre-Approval Requirements for Level II Technician Candidates

Direct Entry Pre-Approval Requirements for Level II Technician Candidates Direct Entry Pre-Apprval Requirements fr Level II Technician Candidates The Direct Entry prgram is intended t allw rpe access technicians wh have btained rpe access skills and experience n an industrial

More information

AMENDMENTS TO NASDAQ RULES ON COMPENSATION COMMITTEES

AMENDMENTS TO NASDAQ RULES ON COMPENSATION COMMITTEES March 2013 AMENDMENTS TO NASDAQ RULES ON COMPENSATION COMMITTEES Summary. The Securities and Exchange Cmmissin recently apprved the fllwing amendments t the NASDAQ listing rules relating t cmpensatin cmmittees:

More information

PAYMENT PLAN REQUEST INFORMATION Texas Property Code - Section (Not Applicable for Condominium Associations Governed Under Section 82)

PAYMENT PLAN REQUEST INFORMATION Texas Property Code - Section (Not Applicable for Condominium Associations Governed Under Section 82) PAYMENT PLAN REQUEST INFORMATION Texas Prperty Cde - Sectin 209.0062 (Nt Applicable fr Cndminium Assciatins Gverned Under Sectin 82) This dcument includes infrmatin regarding a payment plan request in

More information

Pershing Financial Services Guide (FSG) including its Privacy Policy

Pershing Financial Services Guide (FSG) including its Privacy Policy Pershing Financial Services Guide (FSG) including its Privacy Plicy Issued by Pershing Securities Australia Pty Ltd ABN 60 136 184 962 Australian Financial Services License N. 338 264 Date FSG was prepared:

More information

ATTENTION. This Sales and Use Tax Exemption Certificate Application is for: 1. FIRST TIME sales and use exemption certificate filers or;

ATTENTION. This Sales and Use Tax Exemption Certificate Application is for: 1. FIRST TIME sales and use exemption certificate filers or; ATTENTION This Sales and Use Tax Exemptin Certificate Applicatin is fr: 1. FIRST TIME sales and use exemptin certificate filers r; 2. Organizatins hlding a card with expiratin date f 2012 r earlier. 3.

More information

Details of Rate, Fee and Other Cost Information

Details of Rate, Fee and Other Cost Information Details f Rate, Fee and Other Cst Infrmatin Accunt terms are nt guaranteed fr any perid f time. All terms, including fees and APRs fr new transactins, may change in accrdance with the Credit Card Agreement

More information

LANGIND E DOCNUM 2009-0311861I7 AUTHOR Zannese, Lisa DESCKEY 26 RATEKEY 2 REFDATE 100721 SUBJECT Issues par. 149(1)(c) and prpsed par.149(1)(d.5) SECTION 149(1)(c); 149(1)(d.5); 149(1.2) SECTION SECTION

More information

application affiliate name address Website

application affiliate name address Website applicatin Fr nrth american affilites year ($100 per year) new renewal affiliate name address Website designate the twn, state r prvince and cuntry that will be cnsidered the hme address f this affiliate.

More information

APPLICATION OF EMPLOYMENT FOR PRINCIPAL ASSISTANT PRINCIPAL TEACHER

APPLICATION OF EMPLOYMENT FOR PRINCIPAL ASSISTANT PRINCIPAL TEACHER APPLICATION OF EMPLOYMENT FOR PRINCIPAL ASSISTANT PRINCIPAL TEACHER Applicatins are accepted nly fr pen psitins ****Please cmplete, print, sign and mail r e-mail t the schl where yu are applying. 1 Thank

More information

address: Driver license number: Date of birth: Occupation:

address: Driver license number: Date of birth: Occupation: MEMBERSHIP APPLICATION PRIMARY MEMBER INFORMATION Name: Scial security Member Number: Hme phne: Cell phne: Business phne: Mther s Maiden Name: Security passwrd: Mailing address: City: State: ZIP Cde: Street

More information

Town of Palm Beach Retirement System. Deferred Retirement Option Plan (DROP) Policies and Information for Participants

Town of Palm Beach Retirement System. Deferred Retirement Option Plan (DROP) Policies and Information for Participants Twn f Palm Beach Retirement System Deferred Retirement Optin Plan (DROP) Plicies and Infrmatin fr Participants Twn f Palm Beach Retirement System Deferred Retirement Optin Plan (DROP) Plicies and Infrmatin

More information

FINANCIAL SERVICES GUIDE

FINANCIAL SERVICES GUIDE PART N: iinvest Securities Financial Services Guide (FSG) FINANCIAL SERVICES GUIDE DATED: Octber 2017 Cntents f this FSG This Financial Services Guide ( FSG ) is an imprtant dcument that iinvest Securities

More information

Salt Lake City Area Office 8722 S. Harrison St. Sandy, UT P.O. Box 4439 Sandy, UT Fax

Salt Lake City Area Office 8722 S. Harrison St. Sandy, UT P.O. Box 4439 Sandy, UT Fax Salt Lake City Area Office 8722 S. Harrisn St. Sandy, UT 84070 P.O. Bx 4439 Sandy, UT 84091 800-257-5590 Fax 800-478-9880 Chicag Office 303 W. Madisn Street Suite 2075 Chicag, IL 60606 800-456-4576 Fax

More information

Vision Service Plan (VSP) New Group Implementation Guide

Vision Service Plan (VSP) New Group Implementation Guide Visin Service Plan (VSP) New Grup Implementatin Guide Nrth Ranch Benefits Trust (NRBT) Administered by HealthSmart Benefit Slutins, Inc. Agents shuld submit the cmpleted New Grup Implementatin Guide back

More information

For InternatIonal affiliate Program

For InternatIonal affiliate Program applicatin Fr InternatInal affiliate Prgram year ($100 per year) new renewal affiliate name address Website designate the twn, state r prvince and cuntry that will be cnsidered the hme address f this affiliate.

More information

SPECIAL CIRCUMSTANCES REPAYMENT / REMISSION / RE-CREDIT APPLICATION

SPECIAL CIRCUMSTANCES REPAYMENT / REMISSION / RE-CREDIT APPLICATION INSTRUCTIONS SPECIAL CIRCUMSTANCES REPAYMENT / REMISSION / RE-CREDIT APPLICATION Wh shuld use this frm? This frm applies t all internatinal and dmestic fee paying students and all dmestic Cmmnwealth supprted

More information

Western Management 1654 The Alameda Suite 100 San Jose, California

Western Management 1654 The Alameda Suite 100 San Jose, California Fax COMMUNITY NAME PROPERTY MANAGER FROM FAX PAGES PHONE DATE REGARDING Rental Applicatin CC Urgent Fr Review Please Cmment Please Reply Please Recycle Cmments: Western Management 1654 The Alameda Suite

More information

This policy outlines the Company s guidelines, expectations and requirements related to:

This policy outlines the Company s guidelines, expectations and requirements related to: COMMUNICATION & RELEASE OF INFORMATION POLICY #77 Intrductin This plicy utlines the Cmpany s guidelines, expectatins and requirements related t: Use f devices t capture phtgraphs, vide and/r audi while

More information

University of Pittsburgh Office of the Controller General Accounting

University of Pittsburgh Office of the Controller General Accounting University f Pittsburgh Office f the Cntrller General Accunting PRISM ACCOUNT REQUEST APPLICATION (PARA) Frm Instructins September 2017 PARA The PRISM Accunt Request Applicatin (PARA) is a web-based applicatin

More information

Superannuation contributions tax ruling Tax deductibility of superannuation contributions

Superannuation contributions tax ruling Tax deductibility of superannuation contributions July 2011 Technical Bulletin Superannuatin cntributins tax ruling Tax deductibility f superannuatin cntributins Wh is impacted? As a result f tax ruling 2010/1 yur clients can n lnger claim a tax deductin

More information

Instruction Page. Verification of 2014 Income Information for Individuals with Unusual Circumstances

Instruction Page. Verification of 2014 Income Information for Individuals with Unusual Circumstances Instructin Page Imprtant Nte: Please ntify the financial aid ffice if the student r their parents had a change in marital status after the end f the 2014 tax year n December 31, 2014 and als if the parents

More information

REFERENCE NUMBER: PFS.PDS.115. TITLE: Patient Billing and Collections CURRENT EFFECTIVE DATE: 01/01/2018. PAGE 1 of 8 SCOPE:

REFERENCE NUMBER: PFS.PDS.115. TITLE: Patient Billing and Collections CURRENT EFFECTIVE DATE: 01/01/2018. PAGE 1 of 8 SCOPE: PAGE 1 f 8 SCOPE: This Patient Billing and Cllectins Plicy applies t all Presbyterian Healthcare Services (Presbyterian) hspital facilities, including inpatient, utpatient, hme health care services and

More information

HOC Works Program Requirements

HOC Works Program Requirements HOC Wrks Prgram Requirements Last Revisin: March 2018 INTRODUCTION The Husing Opprtunities Cmmissin f Mntgmery Cunty (HOC) established the HOC Wrks prgram in 2015 in rder t guarantee that HOC emplyment

More information

PREPARING TO TERMINATE DROP

PREPARING TO TERMINATE DROP PREPARING TO TERMINATE DROP If yu wrk until yur riginal Deferred Retirement Optin Prgram (DROP) terminatin date, the Divisin f Retirement will mail yu yur DROP Terminatin Packet apprximately 90 days prir

More information

Partner Agency Application Toque Campaign 2017/18

Partner Agency Application Toque Campaign 2017/18 Partner Agency Applicatin Tque Campaign 2017/18 Allcatin f Tque Campaign Funds Partner Agencies receive 50% f the sale price f each item they sell (example: $7.50 frm every $15.00 tque). Apprximately 40%

More information

PATIENT LIABILITY STATEMENT

PATIENT LIABILITY STATEMENT PATIENT LIABILITY STATEMENT (Updated 6/17) We will nt initiate therapeutic services until signed authrizatin is prvided. I understand that I am persnally respnsible fr charges incurred fr services rendered

More information

Terms and Conditions 19 December 2018

Terms and Conditions 19 December 2018 Stck and Shares Lifetime ISA (Prperty Saver) Terms and Cnditins 19 December 2018 These Terms, tgether with the Applicatin Frm, frm a legal agreement between yu and us which sets ut hw the Lifetime ISA

More information

Section I: Membership Application (Please Print or Type)

Section I: Membership Application (Please Print or Type) Telesca Center fr Justice One West Main Street, 10 th Flr Rchester, New Yrk 14614-2098 Visit us at www.mcba.rg Sectin I: 2018-19 Membership Applicatin (Please Print r Type) Name **Birth Date Firm Affiliatin

More information

Application for Employment (Please print)

Application for Employment (Please print) Crdage Cmmerce Center 10 Crdage Park Circle Suite 208 Plymuth, MA 02360 WWW.THEARCOFGP.ORG Email:Inf@Thearcfgp.rg PHONE: 508.732.9292 FAX: 508.732.9229 Applicatin fr Emplyment (Please print) Name Last

More information

2018 J. H. BUDDY RASPBERRY SCHOLARSHIP FINANCIAL ASSISTANCE APPLICATION

2018 J. H. BUDDY RASPBERRY SCHOLARSHIP FINANCIAL ASSISTANCE APPLICATION 2018 J. H. BUDDY RASPBERRY SCHOLARSHIP FINANCIAL ASSISTANCE APPLICATION BASIS OF ELIGIBILITY Due Mnday, April 16, 2018 NO EXCEPTIONS The J.H. Buddy Raspberry Schlarship Fund is ffering an additinal schlarship

More information

Checking and Savings Account Application

Checking and Savings Account Application Checking and Savings Accunt Applicatin Please use the Checking and Savings Accunt Applicatin t: Open a FREE Checking r Dividend Checking and Opt-in r Out f DCU s Overdraft Payment Service including an

More information

At Sungard Availability Services (Sungard AS), we believe that business thrives best in an environment of open and fair competition.

At Sungard Availability Services (Sungard AS), we believe that business thrives best in an environment of open and fair competition. 1 / 6 GLOBAL ANTI-CORRUPTION POLICY At Sungard Availability Services (Sungard AS), we believe that business thrives best in an envirnment f pen and fair cmpetitin. Bribery and ther crrupt acts undermine

More information

APPLICATION FORM PROFESSIONAL PROJECT ASSISTANCE BOOK PUBLISHERS

APPLICATION FORM PROFESSIONAL PROJECT ASSISTANCE BOOK PUBLISHERS RETURN TO: British Clumbia Arts Cuncil 20-010 Mailing Address: Street Address: Bx 9819, Stn Prv Gvt 800 Jhnsn Street, 2nd Flr Victria, BC V8W 9W3 Victria, BC V8W 1N3 Telephne: (250) 356-1718 E-mail: bcartscuncil@gv.bc.ca

More information

APPLICATION FOR MISCELLANEOUS MEDICAL PROFESSIONAL LIABILITY INSURANCE

APPLICATION FOR MISCELLANEOUS MEDICAL PROFESSIONAL LIABILITY INSURANCE APPLICATION FOR MISCELLANEOUS MEDICAL PROFESSIONAL LIABILITY INSURANCE Sectin I General Infrmatin 1. Full Name f Applicant: 2. Mailing and Lcatin Address: (Include all dba s and subsidiaries seeking cverage

More information

Designated Fund Contribution Form

Designated Fund Contribution Form 1 Designated Fund Cntributin Frm Name(s) Address Street City State Zip Alternate Address: Business Seasnal Street City State Zip Telephne Wrk Hme Cell Email: Alternate email: Hw did yu hear abut the Cmmunity

More information

Northwest Battle Buddies

Northwest Battle Buddies Serving ur Veterans, wh served us all! www.nrthwestbattlebuddies.rg Clubs & Organizatins Third Party Event Apprval We are hnred that yu have selected fr yur next third-party fundraising event. The cntributins

More information

Approval Process and Arrangements for University Consultancy Work

Approval Process and Arrangements for University Consultancy Work Apprval Prcess and Arrangements fr University Cnsultancy Wrk 1 Intrductin Cnsultancy activities can be separated int tw types: thse undertaken in City s name (University cnsultancy) and thse undertaken

More information

Hawaii Division of Financial Institutions 2018 Renewal Checklist

Hawaii Division of Financial Institutions 2018 Renewal Checklist Hawaii Divisin f Financial Institutins 2018 Renewal Checklist Instructins Renewal requests must be submitted thrugh by the date specified by yur state regulatr(s). Click here t review all renewal deadlines,

More information

Resolution Adopting a Financial Management Policy

Resolution Adopting a Financial Management Policy Reslutin Adpting a Financial Management Plicy Reslutin N. 01-2011 A Reslutin Adpting a Financial Management Plicy WHEREAS: gd financial management is necessary fr the success f Rivercliff Estates Hmewner

More information

OFFICE OF THE PRESIDENT HUMAN RESOURCES POLICY MANUAL SECTION 11 JULY 28, 2006 REDUCTION IN FORCE GUIDELINES

OFFICE OF THE PRESIDENT HUMAN RESOURCES POLICY MANUAL SECTION 11 JULY 28, 2006 REDUCTION IN FORCE GUIDELINES Purpse A reductin in frce is an actin t reduce the number f emplyees in a wrk unit r university-wide. A reductin in frce may becme necessary due t reduced funding, rerganizatin, change in wrklad, r ablishment

More information

CONTRACT. Fax: City State Zip Code Country

CONTRACT. Fax: City State Zip Code Country July24-26,2019 AmadrCnventinCenter Panama,Rep.f Panama CONTRACT COMPANY INFORMATION: (Please fill ut the fllwing infrmatin exactly as yu wuld like it t appear in the exp s Official Shw Guide) Cmpany Name:

More information

The Company is a public company incorporated in Bermuda and its securities are listed on AIM.

The Company is a public company incorporated in Bermuda and its securities are listed on AIM. (Incrprated in Bermuda Registratin N. 44512) POLICY FOR TRADING IN COMPANY SECURITIES The Cmpany is a public cmpany incrprated in Bermuda and its securities are listed n AIM. Schedule 1 t this Plicy cntains

More information

CAREVEST MORTGAGE INVESTMENT CORPORATION Directions for Completing Retraction Requests

CAREVEST MORTGAGE INVESTMENT CORPORATION Directions for Completing Retraction Requests This package is ONLY fr Class A sharehlders f. Cntents f this package (5 pages): - Instructins fr cmpleting yur retractin request - Retractin Request frm fr CareVest Mrtgage Investment Crpratin The February

More information

Please Note: It is your sole responsibility to review and understand your employer's policies

Please Note: It is your sole responsibility to review and understand your employer's policies MICROSOFT RETAIL EXPERTZONE PROMOTION OFFICIAL RULES Please Nte: It is yur sle respnsibility t review and understand yur emplyer's plicies regarding yur eligibility t participate in trade prmtins such

More information

For InternatIonal affiliate Program

For InternatIonal affiliate Program applicatin Fr InternatInal affiliate Prgram year ($100 per year) new renewal affiliate name address Website designate the twn, state r prvince and cuntry that will be cnsidered the hme address f this affiliate.

More information

INFORMATION TECHNOLOGY SERVICES NIST COMPLIANCE AT FSU - CONTROLLED UNCLASSIFIED INFORMATION

INFORMATION TECHNOLOGY SERVICES NIST COMPLIANCE AT FSU - CONTROLLED UNCLASSIFIED INFORMATION NIST 800-171 COMPLIANCE AT FSU - CONTROLLED UNCLASSIFIED INFORMATION WHAT IS NIST 800-171 COMPLIANCE AND WHY DO WE HAVE TO DO IT? Any Cntrlled Unclassified Infrmatin (CUI) residing in nnfederal infrmatin

More information

PwC Georgia Tax & Law Brief

PwC Georgia Tax & Law Brief PwC Gergia Tax & Law Brief The Order #137/04 f the President f the Natinal Bank f Gergia Prepayment and refinancing f credit Alienatin f the lan t the third party Financial expenses The financial rganizatin

More information

CONTRACT. (Please fill out the following information exactly as you would like it to appear in the expo s Official Show Guide) Fax:

CONTRACT. (Please fill out the following information exactly as you would like it to appear in the expo s Official Show Guide) Fax: July 24-26, 2019 Amadr Cnventin Center Panama, Rep. f Panama CONTRACT COMPANY INFORMATION: (Please fill ut the fllwing infrmatin exactly as yu wuld like it t appear in the exp s Official Shw Guide) Cmpany

More information

ARIZONA FIRE DISTRICT ASSOCIATION FINANCIAL PROCEDURES POLICY

ARIZONA FIRE DISTRICT ASSOCIATION FINANCIAL PROCEDURES POLICY FINANCIAL PROCEDURES POLICY 1. PURPOSE The purpse f these Financial Prcedures is t prvide cnsistent applicatin f cnduct and prper internal cntrls t safeguard the assets f the Arizna Fire District Assciatin

More information

Explanation of a U.S. Address and/or U.S. Phone Number (S3)

Explanation of a U.S. Address and/or U.S. Phone Number (S3) Explanatin f a U.S. Address and/r U.S. Phne Number (S3) Custmer Name Custmer Number By cmpleting yur IRS Frm W-8 yu are affirming that yu are nt a citizen r resident f the United States r ther U.S. persn

More information

Albemarle Police Department. Trade Contractor Pre-qualification

Albemarle Police Department. Trade Contractor Pre-qualification Albemarle Plice Department Trade Cntractr Pre-qualificatin In filling ut this pre-qualificatin statement please carefully read and fllw all instructins. If yu have any questins please cntact Jessica Pabalate

More information

Automotive Diversification Programme Round 3

Automotive Diversification Programme Round 3 Autmtive Diversificatin Prgramme Rund 3 Versin July 2015 Cntents Purpse f this Guide... 3 Eligibility Test... 3 Eligible Perid... 4 Capital Equipment Items... 4 Recnfiguratin... 4 Activities Undertaken

More information

Mint Hill Athletic Park. & Mint Hill Stadium at Veterans Park. Trade Contractor Pre-qualification

Mint Hill Athletic Park. & Mint Hill Stadium at Veterans Park. Trade Contractor Pre-qualification Mint Hill Athletic Park & Mint Hill Stadium at Veterans Park Trade Cntractr Pre-qualificatin In filling ut this pre-qualificatin statement please carefully read and fllw all instructins. If yu have any

More information

Caregiver/Respite Application (Please print)

Caregiver/Respite Application (Please print) 52 Armstrng Rad Plymuth, MA 02360 WWW.THEARCOFGP.ORG Email:Inf@Thearcfgp.rg PHONE: 508.732.9292 FAX: 508.732.9229 Caregiver/Respite Applicatin (Please print) Name Last First Middle Address Street City

More information

Canadian Association for the Study of the Liver Endorsement Policy

Canadian Association for the Study of the Liver Endorsement Policy Canadian Assciatin fr the Study f the Liver Endrsement Plicy 1. Purpse: The purpse f this CASL plicy is t define the criteria and the prcess that will be fllwed fr requests frm utside rganizatins, agencies,

More information

Renewing an Insurance Policy

Renewing an Insurance Policy AGENTS, BROKERS Renewing an Insurance Plicy This renewal prcedure is designed t help representatives respect their bligatins when renewing an insurance plicy. Essentially, these bligatins are spelled ut

More information

Western Management PO Box San Jose, California

Western Management PO Box San Jose, California Fax COMMUNITY NAME PROPERTY MANAGER FROM FAX PAGES PHONE DATE REGARDING Rental Applicatin CC Urgent Fr Review Please Cmment Please Reply Please Recycle Cmments: Western Management PO Bx 26824 San Jse,

More information

APPLICATION FORM FOR ASSISTANCE FROM THE AFRICAN WORLD HERITAGE FUND

APPLICATION FORM FOR ASSISTANCE FROM THE AFRICAN WORLD HERITAGE FUND APPLICATION FORM FOR ASSISTANCE FROM THE AFRICAN WORLD HERITAGE FUND This template is the riginal assistance request frm which when sent shuld cver all the questins asked. It can be adjusted t accmmdate

More information

How to Become a Delaware Public Benefit Corporation

How to Become a Delaware Public Benefit Corporation Hw t Becme a Delaware Public Benefit Crpratin This utline describes the majr steps required fr an existing Delaware crpratin t becme a Delaware public benefit crpratin. 1. Summary. In rder t becme a public

More information

PLAN DOCUMENT TEMPORARY DISABILITY INSURANCE PROGRAM FOR LAY EMPLOYEES DIOCESE OF METUCHEN OFFICE OF HUMAN RESOURCES. Effective January 1, 2014

PLAN DOCUMENT TEMPORARY DISABILITY INSURANCE PROGRAM FOR LAY EMPLOYEES DIOCESE OF METUCHEN OFFICE OF HUMAN RESOURCES. Effective January 1, 2014 DIOCESE OF METUCHEN OFFICE OF HUMAN RESOURCES TEMPORARY DISABILITY INSURANCE PROGRAM FOR LAY EMPLOYEES PLAN DOCUMENT Effective January 1, 2014 (Replaces January 1, 2013 Plan Dcument) 1 CONTENTS OVERVIEW...

More information

FORM 2. INDEPENDENT REGULATORY BOARD FOR AUDITORS (Established under Section 3 of Act 26 of 2005)

FORM 2. INDEPENDENT REGULATORY BOARD FOR AUDITORS (Established under Section 3 of Act 26 of 2005) FORM 2 INDEPENDENT REGULATORY BOARD FOR AUDITORS (Established under Sectin 3 f Act 26 f 2005) APPLICATION BY A FIRM FOR ADMISSION TO THE REGISTER OF AUDITORS (Fr applicatin in terms f Sectin 38(2)) and

More information

Audit and Risk Management Committee Charter

Audit and Risk Management Committee Charter Audit and Risk Management Cmmittee Charter Pivtal Systems Crpratin ("Cmpany") 1. Objectives The Audit and Risk Management Cmmittee (Cmmittee) has been established by the bard f directrs (Bard) f the Cmpany.

More information

MD Collection Agency License Amendment Checklist (Company)

MD Collection Agency License Amendment Checklist (Company) MD Cllectin Agency License Amendment Checklist (Cmpany) CHECKLIST SECTIONS General Infrmatin Amendments GENERAL INFORMATION Instructins Maryland Cmmissiner f Financial Regulatin (MD) Agency des nt require

More information

PRIMERO RE-2 SCHOOL DISTRICT SUPERINTENDENT/PRINCIPAL APPLICATION. Mission

PRIMERO RE-2 SCHOOL DISTRICT SUPERINTENDENT/PRINCIPAL APPLICATION. Mission Missin The Primer RE-2 Schl District shall strive t prvide a safe envirnment, fr all students and staff and meaningful pprtunities and innvative educatinal prgrams fr all students s that they reach their

More information

Understanding Self Managed Superannuation Funds

Understanding Self Managed Superannuation Funds Understanding Self Managed Superannuatin Funds Hw t read this dcument Managing yur finances t meet yur day t day requirements as well as yur lng-term gals can be a cmplex task. There are all srts f issues

More information

Artists working with communities; communities working with artists providing arts access to all.

Artists working with communities; communities working with artists providing arts access to all. grant applicatin Prince f Wales Armuries, 2nd Flr, 10440 108 Avenue, Edmntn, AB T5H 3Z9 p. 780.424.2787 f. 780.425.7620 e. grants@edmntnarts.ca Cmmunity Arts Prgram Grant Guidelines Deadline: May 1 Annually

More information

Certification in Clinical Engineering

Certification in Clinical Engineering 2018 Handbk and Applicatin fr Retired and Emeritus Status Change Certificatin in Clinical Engineering by the Healthcare Technlgy Certificatin Cmmissin Prgram spnsred by the American Cllege f Clinical Engineering

More information

An Educational Guide for Individuals. Radius Choice SM. MassMutual s Premier Individual Disability Income Insurance Protection. Insurance Strategies

An Educational Guide for Individuals. Radius Choice SM. MassMutual s Premier Individual Disability Income Insurance Protection. Insurance Strategies An Educatinal Guide fr Individuals Radius Chice SM MassMutual s Premier Individual Disability Incme Insurance Prtectin Insurance Strategies HELP MAKE YOUR FINANCIAL FUTURE MORE SECURE Radius Chice is disability

More information

Summit County Merchant Season Pass Program

Summit County Merchant Season Pass Program Summit Cunty Merchant Seasn Pass Prgram 2015-16 Rev. 9/25/15 The Summit Cunty Merchant Seasn Pass will be available at the Gndla, Quicksilver and Peak 8 Ticket/ Seasn Pass ffices in Breckenridge and the

More information

FOR PLAN ADMINISTRATORS

FOR PLAN ADMINISTRATORS QDRO INFORMATIONAL KIT FOR PLAN ADMINISTRATORS T ensure cmpliance with requirements impsed by the IRS, we infrm yu that any infrmatin cntained in this cmmunicatin (including any attachments) was nt intended

More information

Independent Director and Audit Committee

Independent Director and Audit Committee Independent Directr and Audit Cmmittee Rules summary The listed cmpany s bard f directrs is representing the sharehlders. They are respnsible fr making decisins n the cmpany s imprtant plicies and strategies.

More information

St. Paul s Lutheran Grade School Tuition Agreement Form

St. Paul s Lutheran Grade School Tuition Agreement Form St. Paul s Lutheran Grade Schl Tuitin Agreement Frm Schl Year: 2017-2018 2017-18 tuitin schedule is listed n the bttm f this dcument. St. Paul s Lutheran Grade Schl strives t prvide an envirnment cnducive

More information

Grant Application Guidelines

Grant Application Guidelines Grant Applicatin Guidelines The prgram staff f the Cmmunity Fundatin f Greater New Britain lks frward t wrking with yu. This frm is fr rganizatins that have submitted a Letter f Intent t us and were invited

More information

TEMPORARY HOLIDAY SALES

TEMPORARY HOLIDAY SALES TEMPORARY HOLIDAY SALES APPLICATION PACKAGE APPLICATION INFORMATION: Temprary hliday sales may nly be sld at nnresidential zning districts r frm areas immediately adjacent and utilized in cnjunctin with

More information

The VCT and EIS regimes encourage investment in unquoted trading companies by offering generous tax reliefs to investors.

The VCT and EIS regimes encourage investment in unquoted trading companies by offering generous tax reliefs to investors. briefing January 2017 VCT and EIS Qualifying Investments Is yur cmpany lking t raise investment frm venture capital trusts (VCTs) r frm individuals seeking tax relief under the enterprise investment scheme

More information

FAQS ON DEBT CONSOLIDATION PLAN

FAQS ON DEBT CONSOLIDATION PLAN 1. What is Debt Cnslidatin Plan (DCP)? Debt Cnslidatin is a debt refinancing prgram which ffers a custmer the ptin t cnslidate all his unsecured credit facilities (such as credit cards and sme types f

More information

Supplier Registration form. Supplier Registration Form

Supplier Registration form. Supplier Registration Form Supplier Registratin frm TO ALL SUPPLIERS SEEKING REGISTRATION AS A PREFERRED SUPPLIER OF GOODS AND SERVICES TO GA ENVIRONMENT (PTY) LTD All suppliers are herewith invited t register as a preferred supplier

More information

All applicants and listed vendors must submit a criminal background check valid

All applicants and listed vendors must submit a criminal background check valid AMENDMENT TO APPLICATION Receipt # Receipt # Date Submitted Date Submitted Amunt paid Amunt paid COMMERCIAL VENDOR APPLICATION PEDDLING, SOLICITING, SPECIAL EVENT VENDOR, VENDOR AT ATHLETIC EVENT Chapter

More information

ABORIGINAL ECONOMIC PARTNERSHIPS Program Application Guidelines

ABORIGINAL ECONOMIC PARTNERSHIPS Program Application Guidelines ABORIGINAL ECONOMIC PARTNERSHIPS Prgram Applicatin Guidelines The Abriginal Ecnmic Partnerships Prgram (AEPP) supprts Abriginal cmmunities, businesses and rganizatins t increase participatin in ecnmic

More information

The Application is due by Mail: Friday, April 27, 2018 The scholarship applications must be mailed to:

The Application is due by Mail: Friday, April 27, 2018 The scholarship applications must be mailed to: Dear Emma Nylen Schlarship Applicant, Enclsed, yu will find the fllwing: 1) Eligibility Requirements; and 2) Emma Nylen Schlarship Prgram Applicatin Apprximately 20-50 schlarships are prvided thrugh the

More information

PASSPORT INFORMATION:

PASSPORT INFORMATION: Dear Vlunteers, Thank yu fr yur interest in the Kids Arund the Wrld playgrund build trip. We are excited fr the pprtunity t wrk alngside yu t impact the lives f these children. The need there is tremendus

More information

Terms of Reference - Board of Directors (approved by the Board on 12 April 2018)

Terms of Reference - Board of Directors (approved by the Board on 12 April 2018) Terms f Reference - Bard f Directrs (apprved by the Bard n 12 April 2018) 1. Respnsibility and Principal Duties The Bard f Directrs has the verall respnsibility fr the gvernance f the Cmpany and fr supervising

More information

TECHSHOP, INC. NOTICE OF LIQUIDATION EVENT

TECHSHOP, INC. NOTICE OF LIQUIDATION EVENT TECHSHOP, INC. NOTICE OF LIQUIDATION EVENT T the Hlders f Series A Preferred Stck and Series B Preferred Stck f TechShp, Inc., a Califrnia crpratin ("TechShp"): As yu may have heard, TechShp ceased peratins

More information

Training course and online qualification bookings Updated June 2018

Training course and online qualification bookings Updated June 2018 Terms and cnditins Training curse and nline qualificatin bkings Updated June 2018 Terms and cnditins fr training curse and nline qualificatins 1. Definitins and Interpretatin 1.1. The fllwing definitins

More information

Employee Hardship Assistance Policy

Employee Hardship Assistance Policy Emplyee Hardship Assistance Plicy Functinal Area: Human Resurces Applies T: All Faculty and Staff Plicy Reference(s): N/A Number: TBD Date Issued: March 4, 2013 Page(s): 6 Respnsible Persn The Directr

More information

Golf Relief and Assistance Fund Application

Golf Relief and Assistance Fund Application Glf Relief and Assistance Fund Applicatin Eligibility The Glf Relief and Assistance Fund is designed t supprt individuals wrking in the glf industry and their husehld family members wh have been impacted

More information

8722 S. Harrison St. Sandy, UT P.O. Box 4439 Sandy, UT Fax

8722 S. Harrison St. Sandy, UT P.O. Box 4439 Sandy, UT Fax 8722 S. Harrisn St. Sandy, UT 84070 P.O. Bx 4439 Sandy, UT 84091 877-678-7342 Fax 801-304-5551 HANGAR General Infrmatin Prpsed Effective Date: Applicant s Name: Applicant s Mailing Address: E-Mail: Cunty:

More information

ABORIGINAL ECONOMIC PARTNERSHIPS Program Grant Application Guidelines

ABORIGINAL ECONOMIC PARTNERSHIPS Program Grant Application Guidelines ABORIGINAL ECONOMIC PARTNERSHIPS Prgram Grant Applicatin Guidelines Abriginal Ecnmic Partnerships Prgram (AEPP) grant funding supprts Indigenus cmmunities, cmmunity-wned businesses and nt-fr-prfit nn-gvernmental

More information

EXTENDED BENEFITS FOR TOTAL DISABILITY & SUCCEEDING CARRIER FOR INPATIENT ADMISSIONS

EXTENDED BENEFITS FOR TOTAL DISABILITY & SUCCEEDING CARRIER FOR INPATIENT ADMISSIONS UnitedHealthcare Oxfrd Administrative Plicy EXTENDED BENEFITS FOR TOTAL DISABILITY & SUCCEEDING CARRIER FOR INPATIENT ADMISSIONS Plicy Number: ADMINISTRATIVE 149.11 T2 Effective Date: December 1, 2017

More information

CRG PATIENT REGISTRATION FORM

CRG PATIENT REGISTRATION FORM CRG PATIENT REGISTRATION FORM PATIENT INFORMATION Patient s Name: Birth : (Last) (First) (Middle) Scial Security Number: Male: Female: Hme Address: (Street / RR Bx # / Apt. #) (City/State) (Zip) Preferred

More information

Renewal of Manager s Certificate

Renewal of Manager s Certificate Applicatin fr Renewal f Manager s Certificate Sectin 219, Sale and Supply f Alchl Act 2012 General infrmatin: Yu must renew yur manager s certificate befre it expires. Once yur manager s certificate has

More information

Physical Therapists and Related Occupations Application

Physical Therapists and Related Occupations Application Physical Therapists and Related Occupatins Applicatin Darwin Natinal Assurance Cmpany Main Administrative Office: Crprate Office: 9 Farm Springs Rad 1807 Nrth Market Street Farmingtn, CT 06070 Wilmingtn,

More information

BUSINESS ETHICS ASSESSMENT

BUSINESS ETHICS ASSESSMENT TENDER / ASSIGNMENT TENDER / ASSIGNMENT NUMBER TENDER MANAGER / ASSIGNMENT LEADER AUTHOR DATE 20160118 PART 1 (2) BUSINESS PARTNER NAME REGISTERED ADDRESS HOMEPAGE VISITING ADDRESS (IF DIFFERENT FROM ABOVE)

More information