Homeowner Concierge Service
By The Insurance Fox LLC
Vendor Name
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Mailing Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Website
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Email Address
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example@example.com
Phone Number
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Contact Person
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Title
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Email
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example@example.com
Best Contact Number
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Area/region you do business:
City(s)
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County(s)
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State(s)
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Description of your business operation
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Years in business
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Brief description about your company and yourself
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Vendor Guidelines
1) All vendor positions are for a year term and renew on an automatic basis.
2) If you do not wish to renew your vendor position, you must notify us in writing NO LATER than 60 days prior to your renewal date.
3) All payments are non-refundable.
4) We must maintain a copy of your current license where applicable.
5) We must have a signed Waiver of Liability and Hold Harmless agreement on file.
6) Vendor cost is $500 per year and will renew automatically unless we are notified in writing NO LATER than 60 days prior to your renewal date.
7) Changes can be made to your vendor description as needed.
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I agree to the above guidelines.
Signature
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Title
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Date
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CREDIT CARD AUTHORIZATION FORM
CARD BILLING ADDRESS
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TYPE OF CARD:
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MASTERCARD
VISA
I authorize The Insurance Fox LLC/Homeowner Concierge Service to charge $500 to the credit card above. I also authorize The Insurance Fox LLC/Homeowner Concierge Service to charge the same amount on the renewal date of my vendorship unless I notify them in writing no later than 60 days prior to my renewal date.
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Yes, I allow The Insurance Fox LLC/Homeowner Concierge Service to authorize my credit card above.
Signature
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Date
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Month
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Day
Year
Date
Print Name
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Title
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