Partner Registration

Facility Partner Registration

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AGREEMENT: By signing this Electronic Signature Acknowledgment Form, I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.
 I understand that checking this box constitutes a legal signature confirming that I acknowledge and warrant the truthfulness of the information provided in this document
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Contact Information
Blue Purple Vail, LLC
3338 NE 34th st
Fort Lauderdale, FL - 33308
Phone:
954.934.5385
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