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BY CHECKING THE BOX, YOU ASSENT THAT YOUR PAYMENT OF THE INVOICE MENTIONED IN THIS AGREEMENT WILL BE REDUCED BY 10%. THIS AMOUNT IS AN ASSESSMENT AND SURCHARGE TO EARLY RELEASE THE PAYMENT OF THE PREVIOUSLY MENTIONED INVOICE. PAYMENT WILL BE RELEASED BETWEEN 3-5 BUSINESS DAYS OF SUBMITTING YOUR CLEMCO ADVANCE PAYMENT FORM. IF, FOR ANY RESON, PAYMENT IS UNABLE TO BE SUBMITTED, THE SURCHARGE WILL NOT BE ASSESSED. IF, FOR ANY RESON, YOU DECIDE TO CANCEL YOUR REQUEST, IT MUST BE DONE SO PRIOR TO PAYMENT SUBMISSION TO NOT INCUR THE SURCHARGE. REQUEST CANNOT BE CANCELED AFTER PAYMENT SUBMISSION HAS BEEN PROCESSED.

YOU ACKNOWLEDGE YOU HAVE READ THIS INFORMATION ABOUT ELECTRONIC SIGNATURES, RECORDS, DISCLOSURES, AND DOING BUSINESS ELECTRONICALLY. YOU CONSENT TO USING ELECTRONIC SIGNATURES, HAVING ALL DISCLOSURES PROVIDED OR MADE AVAILABLE TO YOU IN ELECTRONIC FORM AND TO DOING BUSINESS WITH THE LENDER ELECTRONICALLY. YOU ACKNOWLEDGE THAT YOU MAY REQUEST A PAPER COPY OF THE ELECTRONIC RECORDS AND DISCLOSURES, WHICH WILL BE PROVIDED TO YOU AT NO CHARGE. IF YOU REFRAIN FROM PROCEEDING THEN YOU NEITHER WISH TO USE ELECTRONIC SIGNATURES NOR CONDUCT THIS TRANSACTION ELECTRONICALLY. YOU ALSO ACKNOWLEDGE THAT YOUR CONSENT TO ELECTRONIC DISCLOSURES IS REQUIRED TO RECEIVE SERVICES OF ADVANCE PAYMENTS.