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AGREEMENT

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This agreement along with application is designed for a common sense of understanding.
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1-877-443-8636
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Agreement by Personal Voice Inc. Your Forget-me-not Service in the Computer age

Please note that all fields followed by an asterisk must be filled in.

This is an Agreement made between PERSONAL VOICE, INC. a New Jersey corporation having an address at 4032 Route 516, Matawan, NJ 07747 (“PVI”) and (the “Client”)

First Name*
First Name*

Last Name*
Last Name*

Street Address*
Street Address*

City*
City*

State/Prov*
State/Prov*

Zip/Postal Code*
Zip/Postal Code*

Country*
Country*

Background:
A.
Attached hereto is a copy of an Application filled out by the Client with respect to PVI Services desired by Client to be rendered to the Client’s “Loved One”.
B.
The information, terms and conditions of the Application are hereby made part of this Agreement; and terms in quotation marks in this Agreement but not defined herein but rather are defined in the Application
C.
PVI hereby accepts the Application, based upon the truthfulness and completeness of the information supplied in the Application.
NOW, THEREFORE, it is agreed as follows:

1.
Term of this Agreement

1.1
The “Term’ of this Agreement

shall commence on **
shall commence on **

and shall continue for**
and shall continue for**

days, after which either party, without cause, may terminate this Agreement on three (3) days’ written notice.
1.3
This Agreement may be terminated by PVI at any time for “Good Cause”, which shall include (a) material misrepresentations or omissions in the Application; (b) lack of cooperation (voluntarily or involuntarily) of the Loved One or of the Client and (c) failure to pay PVI for its services within three (3) business days after the due date of the payment.
1.4
In case of termination by Client for Good Cause, the Client shall be entitled to a pro-rata refund of any prepayment on a per diem basis. In case of termination by PVI for Good Cause, Client shall not be entitled to any refund

2
Obligations of Client to Update Information in the Application
Client agrees immediately to advise PVI of any material change of the information concerning the Loved One contained in the Application and of any change in the contact information for Client.
3
PVI SERVICES
3.1
The weekly services to be provided by PVI during the Term are as follows [check one]

	Silver Package Fifteen(15) one-minute calls/week $22.00 per week plus $1.00 per excess minutes
	Gold Package Fifteen(15) three minute calls/week $50.00 per week plus $1.00 per excess minutes
	Platinum Package Fifteen (15) five minute calls/week chatting or waiting up to five minutes for confirmation $85.00 per week plus $1.00 per excess minutes

Customized calls

There also are Special Services at an additional rate Billed in Fifteen Minutes Increments of $60/hr discounted to $40/hr only with gold and platinum packages.(check desired and send or paste specific information)

	A Medical Billing Problem Resolution
	B Bill sorting coordination of bills to benefits
	C Negotiating with insurance companies for eligible benefits
	D Consulting with Medical Staff on a limited basis
	E Assistance with writing or form completion, compiling information

Special Services Specifics

optional fun services$60/hr flat rate also billed in fifteen minute blocks.

	1-Presidential greetings arranged
	2-Gift Suggestions, Book and Film Finding (Purchasing at additional cost)
	3-Special chats of Old Time Radio, early Films, early Television

Specify Fun Services

3.2
The specific reminders or other communications to be made with the Loved One are set forth in the Application
4
Payment to PVI
4.1
Contemporaneously with the execution of this Agreement by PVI and the Client, the Client agrees to pay and is paying to PVI the “Set-up Fee”.Set-up Fee waived when submitted via this page.
4.2
While PVI’s Services will be performed on a weekly basis, the ”Service Fee” must be paid one month in advance, on the* *

3.2
The specific reminders or other communications to be made with the Loved One are set forth in the Application
4
Payment to PVI
4.1
Contemporaneously with the execution of this Agreement by PVI and the Client, the Client agrees to pay and is paying to PVI the “Set-up Fee”.Set-up Fee waived when submitted via this page.
4.2
While PVI’s Services will be performed on a weekly basis, the ”Service Fee” must be paid one month in advance, on the* *

day of each month, commencing on**
day of each month, commencing on**

5
Limitations of Liability
CLIENT HEREBY AGREES THAT PVI, ITS DIRECTORS, OFFICERS, EMPLOYEES AND INDEPENDENT CONTRACTORS HIRED BY PVI TO PERFORM PVI SERVICES SHALL NOT BE LIABLE FOR FAILURE PROPERLY TO PERFORM PVI SERVICES, EXCEPT FOR GROSS NEGLIGENCE OR WILLFUL MISCONDUCT.

6
Non-binding Mediation before Litigation
6.1
Agreement to Mediate
a
All claims or disputes arising out of or in any way relating to this Agreement or any of the parties' respective rights and obligations arising out of this Agreement, the parties agree that before proceeding to litigation they will first submit the claim or dispute to non-binding mediation by a single mediator in Monmouth County, New Jersey, under the auspices of (1) the American Arbitration Association (the "AAA"), in accordance with the AAA's "Commercial Mediation Rules" then in effect, or (2) under the auspices of JAMS or any other mediation service agreed upon by the parties

b
A party to this Agreement having a claim or dispute subject to paragraph 6.1 may not institute any legal action against any other party to this Agreement unless the mediation proceedings have been terminated as a result of a written declaration of the mediator that further mediation efforts are not worthwhile
6.2
Expenses of Mediation
The fees of the AAA or other mediation service and the mediator shall be borne one-half by the Company and one-half by Client.

6.3
Enforceability
A party's right to mediation may be specifically enforced by said party.
6.4
Certain Limitations
All statements, promises, offers, views and opinions made or communicated by any party in the mediation proceeding will be secret and confidential in all respects, and will not be discoverable or admissible for any purposes, including impeachment, in any litigation or other proceeding between the parties. However, evidence otherwise discoverable or admissible will not be excluded from discovery or admission as a result of its use in the mediation proceeding.

7
Entire Agreement; Modification
7.1
This Agreement, together with the Application, constitutes the entire and only agreement between the parties and supersedes any and all prior or contemporaneous agreements, representations, and understandings with respect to PVI ServicesThis Agreement may be modified only by a writing signed by PVI and Client.

PERSONAL VOICE, INC. by Joseph or Victoria Quinn

Client by typing name verifies signature**
Client by typing name verifies signature**

Over 18 years of age*
Over 18 years of age*

	Yes
	No

Prepay monthly service=10% discount
SILVER SERVICE $88.00=only $79.20
1 Minute call length
15 calls/week -

Prepay monthly service=10% discount
GOLD SERVICE $200.00=only $180.00
3 Minute call length,
15 calls/week -

Prepay monthly service=10% discount
PLATINIUM SERVICE $340.00=only $306.00
5 minute call length
15 calls/week -

For FREE INFO PACK CALL 1-USS-4-GET-ME-NOT,
dial numbers (1-877-443-8636).
Personal Voice Your forget-me-not service in the computer age.

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E-mail Address*

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Disclaimer
With the above adjacent services

Personal Voice Inc. can not and will not be held responsible for any failure on their part to achieve required results for any reason on behalf of client

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AGREEMENT

Please complete the FORM any questions call 1-USS-4-GET-ME-NOT- 1-877-443-8636

Please complete the FORM
any questions call
1-USS-4-GET-ME-NOT-
1-877-443-8636