Identogo pa Form 2011-2024

Identogo pa Form: What You Should Know

The Credit Card will be used to pay for the services specified on the form. VIDEO MIA will not receive any of the fees charged to the Customer. There will be no sales tax collected by VIDEO MIA for using the Identity service to request or approve the fingerprint services. REORDER FORM — Enrollment Reasonable efforts will be made to mail or otherwise deliver your Fingerprint Authorization Form to you prior to March 12th, 2012. Payments are due on the date or dates stated on this form. Failure of the Customer to satisfy the terms of this Agreement will invalidate the Agreement. The Customer agrees that the Customer shall be responsible for all fingerprint charges until payment is received. The Customer acknowledges and agrees that any Fingerprint Authorization is valid for not later than thirty days after the date it is issued if the Customer fails to timely notify VIDEO MIA of the Service Code needed to be entered on this form. VIDEO MIA may require the Customer to authorize additional Fingerprint Services upon request. VIDEO MIA will not issue a Service Code or Service Option that the customer does not authorize, has not provided full credit for and/or the customer has not fully repaid. By entering the Service Code or Service Option required by the Customer, the Customer certifies that he/she has satisfied any and all the obligations set forth in this agreement and in any other written contract entered into between the Customer and an agent of VIDEO MIA. The Customer has the right to refuse the fingerprinting services or may cancel the Service Option at any time and request an alternative method of payment and credit in writing to VIDEO MIA. VIDEO MIA reserves the right to require payment of the cost of all other services to be provided to the Customer. When the requested Fingerprint Services have been performed through an alternative method of payment, the Customer agrees to immediately notify VIDEO MIA of any change in its Service Code or Service Option and VIDEO MIA may, at its sole discretion, enter an alternative Service Code or Service Option, change any remaining fees charged to the Customer, or provide one of the foregoing alternatives without charge to the Customer. When the Fingerprint Services to be provided by VIDEO MIA have been completed, the customer may cancel this agreement, without charge, and request an alternative method of payment and credit.

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