AGENCY AGREEMENT
concluded by and between:
Bite the Price Ltd, Company Registration Number 06938167, whose registered office is at 35 Bridgewater Street, Liverpool L1 0AR hereinafter referred to as Agent
and
................ (born: ................, mother's maiden name: ..............., address: ..............)
hereinafter referred to as Client.
Agent and Client are also referred to herein collectively as the ?Parties?.
WHEREAS Agent is a UKdental treatment agencycompany that specialises in sourcing well-equipped, high-class dentistry (hereinafter referred to as the Dentistry) in Middle-Eastern Europe, for example Hungary, on behalf of its Clients.
AND WHEREAS the Client hereby appoints Agent, and Agent hereby agrees to serve as the Client?s dental treatment agent.
In consideration of the foregoing, Agent and Client agree to be bound by the following terms and conditions:
1. AGENT OBLIGATIONS
1.1 The Agent will ensure that all Dentistry referred to the Client possess world-wide insurance against all risk.
1.2 The Agent shall assist the Client to arrange contact and agreement between the Client as patient and the dentistry (hereinafter referred to as Basic Services).
1.3 In relation to the Basic Services the Agent shall do the following:
1.3.1 send a medical questionnaire to the Client requesting a full medical check up.
1.3.2 provide a dentist in the United Kingdom (hereinafter referred to the Examining Dentist), who will carry out a full dental check up in the UK, and establish a diagnosis.
1.3.3 shall obtain a full price quotation from the Dentistry based on the questionnaire and the diagnosis.
Quotes for procedures do not take into account any extra expense in the event of any unforeseen complication or for the need to extend the Client?s stay in the country of the Dentistry.
1.3.4 propose an exact date and final cost of the required treatment (hereinafter referred to as the Treatment) to the Client.
1.3.5 keep track of the Treatment provided by the Dentistry and help the Client with managing after-treatment and enforcement of treatment under guarantee.
1.4 If required the Agent shall arrange airport pick up and entertainment possibilities or other extra services (hereinafter referred to as the Extra Services) for the Client for the duration of his/her stay in the country of the Dentistry.
1.5 The parties declare that the Agent is not entitled to represent the Client in relation to any Extra Services and shall not conclude any contract in the name of the Client.
2. CLIENT OBLIGATIONS
2.1 The Client hereby expressly approves the data management of the Agent, especially that the Agent collects, processes and handles his/her particulars and medical data for the purpose of managing the basic services.
2.2 The Client hereby expressly approves that the Agent forward his/her particulars and medical data (including the diagnosis) to the Dentistry for the purpose of managing the basic services.
2.3 The Client is aware of the fact that organizing his/her Treatment can start only after having sent a report of his/her full medical check up.
2.4 All questions ? especially those involving health and medical ? have to be decided and declared by the Client personally.
2.5 The Client hereby acknowledges that the contact with the Examining Dentist and the Dentistry was done via the Agent.
3. FEES
3.1 The Basic Services are free of charge.
3.2 The costs of Treatment shall be borne by the Client.
3.3 The costs of After-treatment shall be borne by the Client.
3.4 The costs of any Extra Services shall be borne by the Client. The Agent and Client shall agree in a separate agreement on the fee of arrangement of Extra Services.
4. LIABILITIES
4.1 The Agent as intermediary is by no means liable for any impossibility, failure or fault of the treatment or after-treatment. This shall be settled between the Client and the Dentistry in accordance with the medical practice law of the country of the Dentistry. The Agent shall mediate between the Dentistry and the Client, and ? if applicable ? the enforcement of treatment under guarantee.
4.2 Any information published by the Agent regarding the Dentistry, operations, operational risks, duration of treatment and prices are based upon up-to-date information as provided by the Dentistry. The Agent shall not be responsible for any inaccuracy of the aforementioned information.
4.3 In the event that the medical/dental examination at the Dentistry shows that the Treatment cannot be completed for medical reasons, the Agent is not responsible for any of the Client?s costs or other harm.
4.4 The Dentistry will advise the Client in all aspects of the Treatment including the very important area of after-treatment. It is very important that should the Client decide not to follow this advice the Client alone is responsible for the consequences of not doing so and for any repercussions that may occur.
5. PRIVACY
The Agent acknowledges that any data received in relation to present agreement shall be treated with the utmost discretion and in absolute confidence and will only be shared with the Dentistry.
6. DEVIATION AND MODIFICATION OF CONTRACTUAL CONDITIONS
Any deviation, modification or change of provisions of the present agreement shall only be agreed in writing, and duly signed by both Parties.
7. APPLICABLE LAW
All matters not regulated in this present contract are subject to the Laws of UK.
8. TERMINATION OF THE AGREEMENT
This present agreement terminates in the following cases:
? by the fulfillment of the agreement,
? by the common written agreement of the parties,
? either party cancels the contract by notice with 30 days notice period,
? the object of the agency becomes obsolete, especially if the Treatment cannot be completed for medical reasons.
9. JURISDICTION
In case of litigation parties declare to accept the exclusive competence of the ...............
I declare that the above Agreement was read and understood by all parties and has been signed in the presence of the witnesses.
.............., ..............
............................ ..............................
Client Agent
Witnesses:
1...............
..............
