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Terms and Conditions For New Provider Contact FORM

THE SENDER CONFIRMS THAT THEY ARE A LEGITIMATE BUSINESS ENTITY WITH A GENUINE INTEREST IN PROVIDING THE NIFTY™ TEST OR FINDING OUT MORE INFORMATION ABOUT THE NIFTY™ TEST.

THE SENDER CONFIRMS THAT THEY ARE NOT ACTING WITH OR ON BEHALF OF ANY OTHER NON-INVASIVE PRENATAL TEST PROVIDER IN ORDER TO FIND OUT MORE INFORMATION REGARDING THE NIFTY™ TEST’S PARTNER PRICING POLICIES.

THE SENDER UNDERSTANDS THAT THIS FORM REPRESENTS NO CONTRACTUAL OR LEGAL OBLIGATION BETWEEN THEMSELVES AND BGI DIAGNOSTICS AND IS PROVIDED TO BGI DIAGNOSTICS FOR INFORMATION PURPOSES ONLY IN ORDER TO FACILITATE FURTHER COMMUNICATION REGARDING THE NIFTY™ TEST.

THE SIGNATORY UNDERSTANDS THAT THEY/THEIR BUSINESS ENTITY AND BGI DIAGNOSTICS ARE INDEPENDENT CONTRACTORS AND NOT PARTNERS WITH EACH OTHER HEREUNDER. NOTHING IN THIS FORM SHALL BE CONSTRUED AS AUTHORISING OR APPOINTING EITHER PARTY OR ANY OF ITS EMPLOYEES OR AGENTS TO REPRESENT THE OTHER IN ANY MATTER.

BY SUBMITTING THIS FORM THE SENDER CONFIRMS THAT THEY UNDERSTAND ALL DATA PROVIDED IN THIS FORM WILL BE CONTROLLED BY THE PRIVACY POLICY GOVERNING THE USE OF THE NIFTY™ TEST WEBSITE.