Member Contact Information. Business Name: USDOT #: Driver Name(if o/o): DL#(if o/o): Address: Phone: Secure Fax: Email: Primary DER Name: DER Phone: DER Fax: DER Email: Alternate DER Name: The undersigned understands and agrees to the terms in services as outlined in this service agreement: Member Signature Date Northland Occupational Health & DOT Compliance 0000 Xxxxxxx Xxxxx, Xxxxx 000 Ramsey, MN 55303 Date Northland Occupational Health & DOT Compliance 0000 Xxxxxxx Xxxxx XX, Xxxxx 000 Ramsey, MN 55303
Member Contact Information. Business Associate shall document and provide to GCHP a list of third parties to which Business Associate discloses Members’ names and contact information. This list of third parties shall be provided within thirty (30) calendar days of the execution of this Agreement and annually thereafter.
Member Contact Information. Business Associate shall document and provide to Health Plan a list of third parties to which Business Associate discloses Members’ names and contact information. This list of third parties shall be provided within thirty (30) calendar days of the execution of this Agreement and annually thereafter.
Member Contact Information. Members are required to update their contact information, including emails and phone numbers, on their accounts. Members are responsible for knowing and complying with important communications and announcements periodically sent to member contact information. XxxXxxx is not responsible if a member fails to receive a communication that was sent to the contact information on their account.
Member Contact Information. Please enter at least one contact and as many as three contacts for your organization. Please indicate the contact type for each contact you enter. Contact Type (you may check as many as apply): □ Primary Contact □ Secondary Contact □ Billing Contact Name: Title: Telephone Number: Fax Number: Email Address: Contact Type (you may check as many as apply): □ Primary Contact □ Secondary Contact □ Billing Contact Name: Title: Telephone Number: Fax Number: Email Address: Contact Type (you may check as many as apply): □ Primary Contact □ Secondary Contact □ Billing Contact Name: Title: Telephone Number: Fax Number: Email Address:
Member Contact Information. Employee contact information related to new hires, retirements, and terminations (including any changes to existing employees’ contact information) shall be forwarded to the Union on an ongoing basis.
Member Contact Information. Members must include their complete contact information, as well as that of any other Operators that Collect or maintain Personal Information from Children through the Online Service. Such information must include the Operator’s name, mailing address, telephone number, and email address. In cases where more than one company is deemed to be an Operator of the Online Service Directed to Children, the Member may choose to respond to all inquiries from Parents concerning each of the identified Operators’ privacy policies. In such case, the Member’s Privacy Policy need only list the names of all persons or companies Collecting Personal Information through the Online Service.
Member Contact Information. Address:
Member Contact Information. It is your sole responsibility to ensure that the contact information in your user profile with the Credit Union is current and accurate. This contact information includes, but is not limited to addresses, phone numbers and email addresses. Changes to your contact information may be made within Online Banking or by contacting us. We are not responsible for any payment processing errors or fees incurred by you if you do not provide accurate account or contact information.
