SAVE Placement Partner Agreement  

 

______________________________________     ____________________

 Name of Organization                                                Phone

 

_____________________________________________________________

Address

 

______________________________________     ____________________

 Main Contact                                                                                       Phone

 

_____________________________________________________________

 Address

 

If there is more than one contact, please attach an additional sheet of paper with the appropriate information to this agreement.

 

I agree to abide by the policies set forth in this brochure and have enclosed all necessary documents listed in> 11A-D needed to process this agreement.

 

______________________________________       ____________________

 Signature of Representative                                                  Date

 

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 Internal Use Only

 

Date:__________                                Reference:________________________________

 

Reference Type:_________________________________________________________________________

 

Comments:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Approved By:____________________________       Date________________