MICOS Group L.L.C. Professional Services Agreement

Client Name:     




Zip/Postal Code:  

Email Address:   

Phone Number:   

Today's Agreement Effective Date: 




I the above signed, have read the agreement for services contract that MICOS Group L.L.C. has given me, either by postal mail, electronic means, or other delivery method.  By electronic signature and submitting this form, I acknowledge that I am entering into a legal contract with MICOS Group L.L.C. and am liable for this agreement in the same manner in which I would be when signing the written paper contract.  All of the information I have entered above is true.

Please print a copy of this document for your records before submitting.




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