WP E-Signature by Approve Me - Sign Documents Using WordPress -

Purchasing the Full LCA Start-up Pack (templates)

Purchasing the Full Product - Licensed & Medicare Certified + Accredited Start-up Pack (Templates Version) Client agrees to pay Home Health Compliance LLC the full amount ($895.00 - Eight Hundred & Ninety Five Dollars) for the purchase of the Full version of the Licensed & Medicare Certified + Accredited Start-up Pack (Templates). Client confirms that they are the person named on the credit or debit card that is being used for this transaction. Client confirms that they have been given access to the free evaluation on www.homehealthbiz.com prior to making this purchase. Client Legal Name & Signature

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw Signature
Type In 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

Adopt & Sign

Timestamp

Audit

August 15, 2019 9:43 pm MST

Purchasing the Full LCA Start-up Pack (templates) Uploaded by Home Health Compliance LLC Manager/Officer with legal authorization for LLC - [email protected] IP 36.37.140.44