Partnership Agreement Reconsideration Request
Submit your request to have your partnership agreement reviewed or reconsidered. Please provide detailed information to facilitate the process.
Full Name
*
First Name
Last Name
Organization/Company Name (if applicable)
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Partnership Agreement Reference or ID
*
Date of Original Partnership Agreement
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Which section(s) or term(s) of the agreement would you like reconsidered?
*
Please describe your reasons for requesting reconsideration
*
Upload any supporting documents (optional)
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of
Preferred method of contact
*
Email
Phone
Other
Signature
*
Submit Request
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