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doctype: Health Care Provider Agreement

JAYHAWK ACCEPTANCE CORP. HEALTH CARE PROVIDER AGREEMENT (1998-03-31)

This Health Care Provider Agreement (this "AGREEMENT") is entered into by and between Jayhawk Medical Acceptance Corporation, a Texas corporation ("JMAC") with its principal place of business at 2001 Bryan Tower, Suite 600, Dallas, Texas 75201, and ___________________________________________________________, a __________________________ ("PROVIDER"), with its principal place of business at ____________________________________________________________________________. JMAC and Provider desire by this Agreement to establish a framework under which JMAC may purchase retail installment sales contracts (each a "CONTRACT") originated by Provider that finance health care services provided by Provider. In consideration of the mutual agreements contained in this Agreement, JMAC and Provider agree as follows:

JAYHAWK ACCEPTANCE CORP. Health Care Provider Agreement (1999-04-15)

This Health Care Provider Agreement (this "Agreement") is entered into by and between Jayhawk Medical Acceptance Corporation, a Texas corporation ("JMAC") with its principal place of business at 2001 Bryan Tower, Suite 600, Dallas, Texas 75201, and___________________________________________________________, a __________________________________________________ ("Provider"), with its principal place of business at__________________________________________________ _____________. JMAC and Provider desire by this Agreement to establish a framework under which JMAC may purchase retail installment sales contracts (each a "Contract") originated by Provider that finance health care services provided by Provider. In consideration of the mutual agreements contained in this Agreement, JMAC and Provider agree as follows:

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