Agreement


Your checking the box above indicates your agreement to the terms of the attached contract.  Please note that your mark shall constitute an electronic signature pursuant to the Electronic Signatures in Global and National Commerce Act and as such will have the same force and effect as any other signature.  You have the right or option to have the record of this agreement to be provided to you or made available on paper or in non-electronic form, and your consent applies only to the particular transaction described in this contract.  If you wish to obtain a paper copy of an electronic record of your consent, you may do so without any charge by making a written request to Ziering Medical within six (6) months from today’s date.