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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
************************************************************* Internal Use Only
Date:__________ Reference:________________________________
Reference Type:_________________________________________________________________________
Comments:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Approved By:____________________________ Date________________
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