RCM CONSULTANTS CONTRACT FORM

If you feel that you maintain a steadfast commitment to policies and procedures that adhere to our Standards of Excellence, and wish to advertise with us, please fill in, electronically sign and submit the Consultants Contract Form below.

Electronically signing and submitting our Consultants Contract Form constitutes a legal and binding agreement between Really Care Management and the Consultant named on that specific Consultants Contract Form.

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Your Information

Your Name	Company Name

Street Address	E-Mail Address

City, State, Zip	Phone #

Consulting Provided for:	Best Time to Reach you by Phone?

Travel Distance for Consulting Local Only Within 50 Miles Within 100 Miles Within US Only Within Home Country Only Anywhere	Time Zone Pacific Time Mountain Time Central Time Eastern Time Atlantic Time

Website Name	Site URL

Enter Your Profile or Resume Here




Electronic Signature

Your electronic signature below serves as legal acceptance of this contract for Web Marketing Services, in the category of Consultant, as detailed on our Consultant - List page. Signing this contract implies full understanding of and consent to our terms and conditions as stated on RCM's Consultants - List page, located at http://www.rcare.com/clist.html. This Advertising Opportunity is provided by Really Care Management on our website located at http://www.rcare.com, and is exclusively between Really Care Management and Consultant named above. To formalize this contract, please provide authorized electronic signature below and submit the form.

If you have any questions regarding this Consultants Contract Form,
our Standards of Excellence or your qualifications,
please feel free to e-mail us using the link below.

E-Mail us at: Really Care Management

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