IECT Application Consent – Signature
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IECT Application Consent – Signature

Epidermal Cell Therapy

IECT Application Consent


Consent to electronic delivery

In order to process and accept your application online, we need your consent to deliver certain disclosures and agreements to you electronically. Please review the terms and conditions of our E-Sign Consent (PDF) and indicate your willingness to receive electronic disclosures and agreements below. If you do not wish to receive these documents electronically, you may cancel this application process by selecting Cancel below.
E-Sign Consent (PDF)

By signing this consent, I acknowledge and agree to Wells Fargo's E-Sign Consent, and I understand that by doing so I have agreed to receive disclosures and agreements electronically. I am able to receive and view email and PDF files. I understand that I am agreeing to this E-Sign Consent in my representative capacity on behalf of 1) the business, 2) other guarantors on this application and 3) in my individual capacity.

Disclosure and consent to obtain credit information

By electronically submitting this application, I certify that all information I provided as part of the application is true, complete and correct, and I authorize Wells Fargo to make any inquires on me, and other guarantors  listed on this application, that it considers appropriate to determine whether to open and maintain the approved credit account. This may include obtaining credit or other reports from credit reporting agencies, the internal revenue service, and others.
Please read and electronically sign the following linked document(s): Agreement & Personal Guarantee (PDF)

I understand that by signing this consent, I am making the above certifications and signing each of the electronic agreements, disclosures, and other documents for myself in my individual capacity if I am a sole proprietor, or in my representative capacity if I am acting on behalf of a business entity, and I acknowledge that I have received and agree to the terms and conditions of these electronic agreements, disclosures, and other documents.

I understand that by signing this consent, I am signing the personal guarantee contained in the Agreement & Personal Guarantee in my individual capacity, and I acknowledge that I have received and agree to the terms and conditions of the Agreement & Personal Guarantee.

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Signature Certificate
Document name: IECT Application Consent
lock iconUnique Document ID: ad3ce95418ecc737ed978d78292d8a772e0d7569
Timestamp Audit
April 3, 2019 11:26 am EDTIECT Application Consent Uploaded by L. Saphonia Gee - Saphoniagee@estheticstherapy.com IP 74.98.163.149
April 3, 2019 11:32 am EDT Document owner michelle7bechtel@gmail.com has handed over this document to Saphoniagee@estheticstherapy.com 2019-04-03 11:32:57 - 74.98.163.149
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