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THIS REFERRAL AGREEMENT (this ?Agreement?) is made by and between Abodu Inc., a Delaware corporation (the ?Company?) and the undersigned, an individual (the ... PeopleKeep Software, LLC, a Delaware limited liability company,has notified PeopleKeep of the Referral's interest in the Product by completing and.4 pages
PeopleKeep Software, LLC, a Delaware limited liability company,has notified PeopleKeep of the Referral's interest in the Product by completing and.Accept a referral of a professional licensee from a third party, the referring third party must complete the following information. This DPHMP Referral Form ...2 pages
accept a referral of a professional licensee from a third party, the referring third party must complete the following information. This DPHMP Referral Form ... This Inxeption Referral Agreement ("Agreement") is entered into as ofand Inxeption Corporation, a Delaware corporation ("Inxeption"), ... The incorporator must fill in an "Incorporator's Statement" showing the names and addresses of the initial directors. The incorporator must sign the statement ... Date of Referral: Person and Agency Making Referral: GENERAL INFORMATION: Age: Date of Birth: Case Number: Address: RESIDENTIAL INFORMATION: Where Does the ... Patient Referral Form. Please fill out the following fields. Your patient will be scheduled for an evaluation within 2 weeks. DO NOT USE FOR EMERGENCIES ... Call (302) 678 ? 5008 or have the patient call us. Fax Fax a referral to our office at (302) 678 ? 5505. OR Download and fill out our Referral Form and fax ... The Child & Adolescent Mental Health division assures appropriate services areA copy of the Delaware County MH RTF / CRR Referral Form and Office of ... Application/pdf Application for Time to Pay (Fill-in-the-blank); application/pdfMental Health Docket: Referral Form; application/pdf ...
Company Partner refers to its specific assets in connection with this Agreement. 2. Referral Partner shall not obtain any interest, license, or right from the Company by way of a pledge, security or otherwise in connection with this Agreement, but only on the basis of services. 3. Referral Partner shall be appointed as Company Partner. 4. Referral Partner shall have the exclusive authority to negotiate the terms of this Agreement and its rights or obligations thereunder with the Company. 5. Referral Partner shall not acquire any interest, license, or right from the Company by way of the pledge, security, or otherwise, and shall not in any way otherwise violate this Agreement. 6. Reference Partner shall be a party to this Agreement solely with respect to the services and intellectual property developed and marketed by it under this Agreement. 7.