Company Name. Address: Attention: Tel: Fax: Email: If sent to Cornell: For all correspondence except payments Center for Technology Licensing at Cornell University Attention: Executive Director 000 Xxxx Xxxx Xxxx, Xxxxx 000 Xxxxxx, XX 00000 FAX: 000-000-0000 TEL: 000-000-0000 EMAIL: xxx-xxxxxxxxx@xxxxxxx.xxx For all payments – If sent by mail: Center for Technology Licensing at Cornell University XX Xxx 0000 Xxxxxx, XX 00000-0000 If remitted by electronic payments via ACH or Fed Wire: Receiving bank name: Xxxxxxxx Trust Co. Bank account no.: 0111000065 Bank routing (ABA) no.: 000000000 SWIFT code: Bank account name: XXXXXX00 Cornell University Bank ACH format code: Not required Bank address: X.X. 000, Xxxxxx, XX 00000 Additional information: Reference D-4677 Agreement No.: <to be assigned> An email copy of the transaction receipt shall be sent to xxx-xxxxxxxxx@xxxxxxx.xxx. Licensee is responsible for all bank charges of wire transfer of funds for payments. The bank charges shall not be deducted from the total amount due to Cornell.
Company Name. Address: City: State: Zip: Phone: Email: Applicant’s Agent (if applicable) Company Name: Address: City: State: Zip: Phone: Email: Agent’s contact person:
Company Name. REPRESENTATIVE: ADDRESS: CITY, STATE, ZIP: EMAIL: TELEPHONE NO.: FAX NO.: INDICATE ALL THAT APPLY Minority Owned Business Enterprise Woman Owned Business Enterprise MINORITY STATUS: Has this firm been certified as a minority, women or disadvantaged business enterprise by any governmental agency? Yes No if yes, please specify government agency: Date of certification: The above information is for information only. The City of Arlington encourages minority business participation; however no preferences shall be given. MINORITY/WOMEN BUSINESS ENTERPRISE (MWBE) DATA GATHERING FORM (CONSULTANT SERVICES CONTRACT) The City of Arlington is gathering data on MWBE businesses. In order to be identified as a certified Minority/Woman Business Enterprise (MWBE) in the City of Arlington, please complete this form, include copy of your Certification and return with your RFQ documents. Please note that this data is for information only. Name of Consultant: Is Consultant MWBE? If yes, please check all that applies: YES NO Native American (AI) Native American, Women-Owned (NW) Asian (AS) Asian, Women-Owned (AW) Black (BL) Black, Women-Owned (BW) Hispanic (HI) Hispanic, Women-Owned (HW) Women-Owned (WO) MWBE Certifications accepted by the City of Arlington. The City will review other MWBE Certification. North Central Texas Regional Certification Agency (NCTRCA) State of Texas, historically Underutilized Business (HUB) Dallas/Fort Worth Minority Supplier Development Council (DFW MSDC) Women’s Business Council – Southwest (WBC-SW) Texas Department of Transportation (TxDOT) South Central Texas Regional Certification Agency (SCTRCA) Others (please specify) - PROPOSAL FOR PROFESSIONAL SERVICES FOR Xxxxxx Xxxx Arlington, Texas May 31, 2016
Examples of Company Name in a sentence
LICENSEE: Insert Company Name: By: Printed Name of Officer: Title: (rev.
Ouray County Company Name Signature of Authorized Directing Party BOCC, Chair Trust Account Number – includes existing and future sub-accounts unless otherwise designated.
User or Authorized Representative Trustee or Authorized Representative Enter Company Name: Enter Contact Name: Title: Address: City, State Zip Phone Number of Contact: Fax Number of Contact: E-Mail Address of Contact: Authorized Signature and Date: List all F/K/A and DBA.
By: Xxxxxx Xxxx Brokerage Company Name Broker or Sales Associate Date: ACKNOWLEDGMENT OF RECEIPT OF AGENCY DISCLOSURE FORM: I acknowledge I have received a copy of this form.
Signature Any post construction billing should be sent to the following address: Name: Street Address: City, State, Zip Code: E-mail: WITNESS the following signatures and seals pursuant to due authority: Customer: (Print Company Name) By: (Signature) (Print Name) Position*: (Print Position) WITNESS (Signature) (Print Name) Date *If other than president, vice president, partner, or owner, a power of attorney must accompany contract.
More Definitions of Company Name
Company Name. Address: Attention: Tel: Fax: Email:
Company Name. Address:_____________________________ ___________________________________ _____________________________ ___________________________________ _____________________________ ___________________________________ Contact:_____________________________ Contact:___________________________ Telephone:___________________________ ___________________________________ Facsimile:___________________________ P.O.#, if required:________________
Company Name has the meaning set forth in Section 11.01(a).
Company Name. Baina Zhiyuan (Beijing) Technology Co. Ltd. Founded on : September 9, 0000 Xxxxx xx Xxxxxxxxxxxx: : China Company No.: : 110000450183446 Registered Address: : Xxxxx 0-0-0, Xxxxx X, # 0 Xxxxx, Xx.0 A Xueyuan Road, Haidian District, Beijing
Company Name has the meaning set forth in Section 5.13.
Company Name means Paramount Gold and Silver Corp.
Company Name. Address:___________________________ ________________________________________ ___________________________ ________________________________________ ___________________________ ________________________________________ Designated Contact:________________ Contact:________________________________ Telephone:_________________________ ________________________________________ Facsimile:_________________________ P.O.#, if required:_____________________ Requests to change the designated contact should be given in writing by the designated contact or an authorized employee. Contracts, Deposit Materials and notices to Invoice inquiries and fee remittances DSI should be addressed to: to DSI should be addressed to: DSI DSI Contract Administration Accounts Receivable Xxxxx 000 Xxxxx 0000 0000 Xxx Xxxx Xxxxx 000 Xxxxxxxxxx Xxxxxx Xxx Xxxxx, XX 00000 Xxx Xxxxxxxxx, XX 00000 Telephone: (000) 000-0000 (000) 000-0000 Facsimile: (000) 000-0000 (000) 000-0000 Date:_________________________________