Disclosure and service contract

Read Part A (Disclosure) and Part B (Service Contract). Then acknowledge and sign each block below. Body text is 12-point or larger.

As shown on your ID

Legal first name(s) Middle name (optional) Legal last name(s)

Two last names are allowed.

1 · Disclosure Statement

I confirm I have read and understand the Disclosure Statement. I agree

Date Signature (draw)

2 · Service Contract

I confirm I have read and agree to the terms above. Yes, I agree.

Date Signature (draw)

By signing, I confirm I have read and understand Part A (Disclosure) and I agree to Part B (Service Contract).

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