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Service Agreement -Form Fill

Section One
Q1

Date

Date

Q2

Service type

Q3

Job Title

Q4

Job Details

Q5

Name of Service Provider

Q6

Address of Service Provider

Street Address

Q7

Address of Service Provider

Street Address Line 2

Q8

Address of Service Provider

City

Q9

Address of Service Provider

State / Province

Q10

Address of Service Provider

Postal / Zip Code

Q11

Name of Client

Q12

Address of Client

Street Address

Q13

Address of Client

Street Address Line 2

Q14

Address of Client

City

Q15

Address of Client

State / Province

Q16

Address of Client

Postal / Zip Code

Q17

Billing Period

Q18

Total Bill Amount

Q19

Invoices shall be paid within the number of days from receipt:

Q20

Late Payments shall incur an interest rate amounting to

Q21

Late payment incurring period

Q22

Notice of termination shall be sent in not less than:

Q23

Select reimbursement conditions

Q24

Choose Intellectual property ownership

Q25

Option to sub contract the job:

Q26

Signature of Contractor

Q27

Signature of Client

Q28

Name of Contractor/Representative

Q29

Name of Client/Representative

Q30

Date signed by contractor

Date

Q31

Date signed by client

Date