OFFICER SERVICE AGREEMENT RECURRING EVENTOfficer Service Agreement • August 3rd, 2018
Contract Type FiledAugust 3rd, 2018Name of Coordinator: (Coordinator’s Contact Number) (Date) Applicant: (Business Name or Organization) (COT Permit Number/Attach Copy of Permit and 501(c)3) Address of Business: Billing/Mailing Address: Description of Duties: Name and title of Authorized Agent Requesting Service: (Title) (First) (Middle) (Last) WorkPhone #: CellPhone #: OtherPhone #: Alcoholic Beverage License Number (Attach copy of beverage license): COT Business Tax Certificate Account Number (Attach copy of tax certificate if applicable):