After you SUBMIT the Application, you need to submit a the base fee payment.

Once you hit the "Submit and Sign" button, you will be redirected to make a $79.00 base fee payment for this form.

Additional Fees may be added after Power Review. You will be contacted for additional payment if needed.

Please check that you agree before continuing.

By continuing I agree that I am willing to complete a digital version of the document(s) and that information about my user session will be stored.

04/20/2024

04/20/2024Click to Sign

Signature HereClick to Sign

Signature HereTroy Dahlgren Will Sign Here

Signature HereSarah-Jane Martin Will Sign Here

I.N.Will Update Upon Signing

Create Your Signature

Please fill in your name and email and then either draw or type your signature below.

Full Legal Name

Your Initials

Signature Type

Type Draw Upload Custom

Clear Signature

Signature will be applied to the page. You will have a chance to review after signing.

Check this box to continue

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

Additional Signatures Required

	Signer Details	Me?
Owner or Authorized Agent Signature
I'm not a signer listed above

Brigham City Corporation

Print Document

After you SUBMIT the Application, you need to submit a the base fee payment.

Once you hit the "Submit and Sign" button, you will be redirected to make a $79.00 base fee payment for this form.

Additional Fees may be added after Power Review. You will be contacted for additional payment if needed.

Create Your Signature

Sign Now!

Please provide accurate information below to ensure the delivery of the signed copies of the document.

Listed Signers

Other Signers (The signers below will be invited to sign once the above signers have signed.)

SJ Martin

Troy Dahlgren

Sarah-Jane Martin