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<br />The EI Group, Inc. • 800.717.3472 • www.ei1.com <br /> <br /> <br />TERMS ACCEPTANCE <br /> <br />These terms are accepted this ______ day of ____________, 2024 on behalf of: <br /> <br />Company Name:_______________________________________________________________________ <br /> <br />Authorized Signature: __________________________________________________________________ <br /> <br />Printed Name & Title: __________________________________________________________________ <br /> <br />Course (s): Lead Renovation, Repair and Painting Initial and Refresher Training________________ <br /> <br />Date (s): ____March 15, 2024_____________________________________________________________ <br /> <br />Your signature certified that you are an authorized agent to which these terms are addressed. Your <br />signature also obligates you (if individual) or the company represented to pay for the services “as <br />described” in the proposal and attached “Standard Terms and Conditions”. <br /> <br /> <br /> <br />BILLING INFORMATION <br /> <br />Company Name:_______________________________________________________________________ <br /> <br />Billing Contact:________________________________________________________________________ <br /> <br />Address: _____________________________________________________________________________ <br /> <br />Phone: ______________________________________________________________________________ <br /> <br />Fax: ________________________________________________________________________________ <br /> <br />Email: _______________________________________________________________________________ <br /> <br /> <br />DocuSign Envelope ID: 437AC891-1630-4C22-8920-E7036A47B583