Service Agreement
Hospice Volunteer Training Online Terms and Conditions
Effective Revision Date: July 1, 2011
$10 per month usage fee + $10 for each volunteer that begins training.
Example: In July, 3 volunteers begin the course. The invoice sent in August
is $40.
Each volunteer remains enrolled for 1 year with no other fees.
*Please note that delinquent accounts greater than 90 days are de-activated.
Terms:
Invoices are sent the 1st week of the month following service.
Billing information will contain the volunteer name(s) and date enrolled.
If paying by check or money order, please include a copy of the invoice with payment.
Checks should be made payable to:
Hospice Volunteer Training Online
and mailed to 1183 Pool Creek Road, Clayton, GA 30525
Checks returned due to insufficient funds will be charged a set fee of $20.
Payment is net 30 days.
Accounts with past due balances greater than 90 days, will have their site disabled.
This course is provided for the basic knowledge of hospice. Further education must be provided by the agency where the student will volunteer. The student must make application, submit to a criminal background check, and follow additional policies and procedures from the hospice agency. This course does not provide these services.
No part of this course may be reproduced mechanically or electronically without permission of the owner, Robin M. Watts located at 1183 Pool Creek Road, Clayton, GA. The collective course contents of the Hospice Volunteer Training Online program are protected by copyright and may not be reproduced for distribution. Copyright: All Rights Reserved Registered: Sun Mar 01 18:37:37 UTC 2009 Title: Hospice Volunteer Training Online Fingerprint: 9e63c016a90fff407ff89bf5385a52cf161b421aa725c0348b0e4f3d9b4bb6d8 MCN: E8BFB-964C3-66A41
Hospice volunteer training online is provided at a rate of $10.00 per person.
The designated hospice agency contact person will be given an enrollment key (password) to ensure only approved volunteers become course participants.
Two employee signatures are required to complete this agreement. Signatures represent an understanding of terms and conditions as stated and an agreement to pay for services rendered. In lieu of signatures, the electronic submission of the form indicates agreement to terms.
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I Agree to the Terms
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Name and title of person authorizing this agreement
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Authorizing person's email address:
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Company Name
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Company Mailing Address
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Company Website
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Name of Person to Receive Invoices
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Email Address to Send Invoices
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Name of Volunteer Coordinator
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Volunteer Coordinator Email
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Company Phone Number
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How did you find out about the Hospice Volunteer Training Online program?
Please add any additional comments or questions here.
You may submit the form electronically or print, sign and fax
If you would like to print the form,
please click here
then sign and fax to 706-782-6173
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Authorized Signature of Manager
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Volunteer Coordinator Signature
Click here to print
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Indicates Response Required
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