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EDD Payment Agreement

Payment total	{{payment_total}}
Payment discount	{{payment_discount}}

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Your legal name

Your email address

Please Confirm full name and signature.

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Timestamp

Audit

September 12, 2021 12:24 pm IDT

EDD Payment Agreement Uploaded by Rivka Levine - rivka.fishman@naaleh.com IP 188.64.206.210