Please read the general terms & conditions below. If you are in agreement, sign where indicated.
Disclaimer: In consideration for The Patsy T. Mink Center (MCBL) Coordinating the Shop Small Hawaii and supplying data from all partners and suppliers of data compilation, the subscriber acknowledges and agrees that, to the fullest extent permitted by law, none of MCBL or the suppliers; (1) accept any responsibility or liability for the frequency of provision and accuracy of the MCBL rate or any use made by the MCBL rate by the subscriber, whether or not arising from the negligence of any of MCBL or the Suppliers; or (2) shall be liable for any loss of business or profits nor any direct, indirect or consequential loss or damage resulting from any such irregularity, inaccuracy or use of the information.
Electronic Signature: I agree that I have provided information to the best of my knowledge. I consent and agree that my use of a key pad, mouse or other device to select an item, and submit this Intake Form constitutes my signature, acceptance and agreement as if actually signed by me in writing. Further, I agree that no certification authority or other third-party verification is necessary for the validity of my electronic signature; and that the lack of such certification or third-party verification will not in any way affect the enforceability of my signature with respect to this Intake Form. This Intake Form shall be governed by and interpreted under Hawaii and federal law.