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Signature MD Concierge Services Patient Membership Agreement This Concierge Service Patient Membership Agreement (the Agreement) is entered into between individual whose name appears opposite Members
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The pitman-new agreement-071112docx is a legal document outlining terms and conditions of a specific agreement.
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2010 2009 California SignatureMD Doug MasterCard CARDHOLDERS Rey www EXP Pitman DISCOUNTED DEBIT AMEX authorizes tenders PREPAID selects acknowledges INSTALLMENTS pursuant Admiralty payable MD VERIFICATION ii govern latter MAILING Concierge incorporated

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