In accordance with Federal and Pennsylvania Law, the following is a valid signature which binds you to the terms of this Statement of Acceptance to the same degree as a handwritten signature. By using the following process to create an electronic signature, you signify your intent to be legally bound. You must fill in the following information and insert a checkmark in the box and type "I agree" in the box marked "Electronic Signature" - this statement shall be binding. Please retain a copy for your records. You will also receive a copy of your entry via email.