Professional Services AgreementAgreement • April 25th, 2018 • California
Contract Type FiledApril 25th, 2018 JurisdictionIndependent Contractor or Contracting Firm Name: Social Security (U.S.) or N.I. Number or Taxpayer ID (REQUIRED) Name as it appears on Social Security or W9 Business Address: Business Phone: Is Taxpayer a Non-Resident Alien? Yes No Fax Number: If Yes, has Contractor supplied IRS Form W-8BEN or IRS Form 8233? Yes No Is there any known relationship between any Synagogue employee and the supplier that could constitute a conflict of interest? Yes No Synagogue Congregation Beth David Mailing Address: 19700 Prospect RoadSaratoga, CA 95070 Synagogue Contact - Name: [person authorized to approve invoices] Title FacsimileEmail Synagogue Backup Contact - Name: [person authorized to approve invoices] TitleFacsimile Email