EmailMe Form - Colbert Global LLC Agreement(s)

Basic Information

This agreement is made effective on the date signed. Between Colbert Global LLC, Mableton, GA, and the Independent Contractor referenced below.
These parties have willingly agreed to enter into this Agreement for the purposes set forth and made part of this Agreement on the following terms and conditions. This Agreement shall be valid for 12 months after the date of signature.

Colbert Global LLC Agreement

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Colbert Global LLC Terms and Conditions

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Name *

First Last

Please enter your legal name as it appears on your state issued identification.

Email *

Phone *

### - ### - ####

Address *

Street Address City State / Province / Region Postal / Zip Code

Please enter your current address. This will be used to mail end of year tax documents.

Social Security Number *

Confirm Social Security Number *

This will be used to report earnings.

PTIN *

Anyone who prepares or assists in preparing federal tax returns for compensation must have a valid 2022 PTIN before preparing returns.
Please enter the active PTIN assigned to you by the IRS.

Referred By

Direct Deposit Information

Please enter your direct deposit information.

Name *

First Last

Name on Account

Name of Bank *

Account Number *

Confirm Account Number *

Routing Number *

Type of Account *

Account Type

Agree and Continue *

I agree and consent

By clicking the above Agree and Consent box;
I agree to theColbert Global LLC Agreements and Policies.

I agree to hold harmless, defend and indemnify the Company -- Colbert Global LLC from any and all claims, actions, suits, charges and judgments whatsoever that arise out of the Independent Contractor's performance or nonperformance of the services or subject matter called for in this Agreement.

I agree that I am an Independent Contractor, not an Employee

I agree and understand that any enrollment/registration fees are non refundable.

This Agreement is a legally binding document and your signature will commit you to its terms. You acknowledge that you have been advised to discuss all aspects of this Agreement with your attorney, that you have carefully read and fully understand all of the provisions of this Agreement, and that you are voluntarily entering into this Agreement.

I agree that I have read, understood, agreed and consented to the above documents. These documents are also available for download at any time using the below links

Colbert Global LLC Agreement: https://pdfhost.io/v/pXGZ.PWFU_Colbert_Global_Non_Disclosure_112122

Colbert Global LLC Terms and Conditions:
https://pdfhost.io/v/DPBNdphfn_Colbert_Global_Terms_and_Conditions_112122

Signature *

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Date Time *

MM / DD / YYYY