General Release Agreement and Certification

General Release Agreement and Certification

Date:*
Name:*
Address:*
Phone:*
E-mail:*

CERTIFICATION OF UNDERSTANDING, and ELECTRONIC SIGNATURE and SUBMISSION

By submitting this general release form, I understand that this is a binding legal document between myself and Affiniti Global LLC and agree to all Terms and Conditions of the General Release Agreement.

Please read the General Release Agreement Terms and Conditions here.

PLEASE TYPE YOUR FULL NAME (e-Signature):*
I, the above signed, certify I have read and agree to the Terms and Conditions of the General Release Agreement.*

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