Extension Ambassador Signing
Read the following agreement and sign using the question entries below.
Agreement Header
*
I have read and agree to the terms of the Extension Ambassador Program Agreement.
Signature Section for Ambassador
Ambassador Full Name
*
Ambassador Email
*
example@example.com
Ambassador Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Signature of Ambassador
*
Date
*
-
Month
-
Day
Year
Date
If Ambassador is a Minor
Parent/Guardian Consent Section
Parent/Guardian Full Name
First Name
Last Name
Relationship to Ambassador
Parent/Guardian Email (optional)
example@example.com
Signature of Parent/Guardian
Date
-
Month
-
Day
Year
Date
Electronic Signature Agreement
*
By typing my name below and submitting this form, I acknowledge that this electronic submission represents my official signature. I affirm that I have read and understood the Extension Ambassador Program Agreement in full. This electronic signature holds the same validity as a handwritten signature and confirms my agreement to the terms outlined in the official PDF version of the Agreement.
Name of Ambassador (one last time)
*
First Name
Last Name
Submit
Submit
Should be Empty: