Disclosure and Confidentiality Agreement with
Bible Counsultants of America, Inc.

I, _______________________, personally and/or

our college, _____________________

_____________________, located at,

_________________________________________

_________________________________________

acknowledge that the BCA staff and their attorneys will be sharing their attorneys’ legal strategies and mental impressions with our clients, BCA members and interested parties. Florida law as it relates to attorney-client and/or work product privilege provides for confidentiality of all these matters by any party they are shared with, as well as, excluding any individual or organizations from attending or being party to this information.

I, __________________________,

personally, as well as, our college agree to keep all these
legal strategies and mental impressions confidential unless expressly we are granted permission in writing via certified mail return receipt requested by the BCA or their attorney,
Frederick H. Nelson, P.A., 234 North Westmonte Drive Suite 3000, Altamonte Springs, Florida 32714 (407) 925-4575. Furthermore, we will only share information about the CPCA that is available to the public on the BCA’s web site, http://www.BCAmerica.org/. All other information and correspondence disseminated by the BCA in correspondence, electronically, or verbally is covered by this Disclosure and Confidentiality agreement and I will not disclose it without getting specific written permission from the BCA.

State of _________________________ 

County of ______________________________

Before me this day personally appeared

______________________________ from or 

(typed or printed name)

associated with 

____________________________________________,

Name of institution (typed or printed name)

who being duly sworn, deposes and says:

I do hereby swear or affirm that

I _____________________________, understand and

(typed or printed name)

will abide by the terms of this BCA Disclosure and Confidentiality agreement, and that I
understand that a violation of this BCA Disclosure and Confidentiality Agreement will
subject me to penalties of perjury.

________________________________

(typed or printed name)

________________________________

(Signature)

 

Sworn or affirmed to and subscribed before me

this_____ day of _____________, 20___.

 

My Commission Expires:                                            

 ______________________________

Notary Public


 

 

Bible Consultants of America
Telecom Center
1931 Welby Way, Ste. 4
Tallahassee, FL 32308
Telephone: 877-700-USA1
Fax: 863-421-1941

Site:
www.BCAmerica.org
Email:Bca@BCAmerica.org

Field Service Address:
Dr. Earle E. Lee, President
41 N. 20th Street .#17
Haines City, Florida
33844-4638

Voice: 863-422-7650
Fax: 863-421-1941

© 2005 BCA, Inc.