THIRD PARTY BILLINGThird Party Billing Agreement • October 20th, 2022
THIRD PARTY BILLING AGREEMENTThird Party Billing Agreement • June 14th, 2017
The party identified below as “Subscriber” (the “Subscriber”) has requested the receipt of Information from Options Price Reporting Authority, LLC (“OPRA”) and has entered into a Professional Subscriber Agreement with OPRA (the “Subscriber Agreement”) for that purpose. Subscriber has requested that OPRA permit the party identified below as “Payor” (the “Payor”) to assume responsibility for payment of the applicable charges for Subscriber’s receipt of the Information described below. The purpose of this Third Party Payment Agreement (this “Agreement”) is to establish terms and conditions with respect to payment of such charges. The term “Information” is used in this Agreement with the meaning assigned to it in the Subscriber Agreement.
THIRD PARTY BILLING AGREEMENTThird Party Billing Agreement • February 2nd, 2022
The party identified below as “Subscriber” (the “Subscriber”) has requested the receipt of Information from the committee of exchanges designated as the Options Price Reporting Authority (“OPRA”) and has entered into a Professional Subscriber Agreement with OPRA (the “Subscriber Agreement”) for that purpose. Subscriber has requested that OPRA permit the party identified below as “Payor” (the “Payor”) to assume esponsibility for payment of the applicable charges for Subscriber’s receipt of the Information described below. The purpose of this Third Party Payment Agreement (this “Agreement”) is to establish terms and conditions with respect to payment of such charges. The term “Information” is used in this Agreement with the meaning assigned to it in the Subscriber Agreement.
THIRD PARTY BILLING AGREEMENTThird Party Billing Agreement • October 11th, 2020
The party identified below as “Subscriber” (the “Subscriber”) has requested the receipt of Information from Options Price Reporting Authority, LLC (“OPRA”) and has entered into a Professional Subscriber Agreement with OPRA (the “Subscriber Agreement”) for that purpose. Subscriber has requested that OPRA permit the party identified below as “Payor” (the “Payor”) to assume responsibility for payment of the applicable charges for Subscriber’s receipt of the Information described below. The purpose of this Third Party Payment Agreement (this “Agreement”) is to establish terms and conditions with respect to payment of such charges. The term “Information” is used in this Agreement with the meaning assigned to it in the Subscriber Agreement.
Third Party Billing AgreementThird Party Billing Agreement • March 5th, 2007
This Agreement is in reference to U.S. importations on which Great Lakes Customs Brokerage Inc., Livingston International, Inc., or PBB Global Logistics Inc. acts as agent on behalf of , the Importer of Record, hereafter known as the Importer. It is normal practice to invoice all charges pertaining to such importations to the Importer.
College of DuPageThird Party Billing Agreement • October 4th, 2017
THIRD PARTY BILLING AGREEMENT FORM CONTINUING EDUCATION This form must be submitted at the time of registration and will not be accepted without prior company approval.Please read and complete the form before signing this agreement. Continuing Education Registration Office - Ashley McLaughlin - mclaughl@cod.edu Phone: (630) 942-2209 Fax: (630) 942-3785 Student First Name Student Last Name Birthdate Student Social Security Number or ID# (If known) Street City State Zip Home Phone Work / Cell Phone Male Female Email Address ETHNIC ORIGIN (OPTIONAL) Caucasian Asian/Pacific Hispanic Native American African-American Company Name: Company Billing Address: Company Contact Person: Company Email: Company Phone: Company Authorized Signature & Title: Employer, please check the appropriate lines. Payment is due upon receipt of College of DuPage invoice. Date: Indicate semester enrolled: Fall Spring Summer
Third Party Billing AgreementThird Party Billing Agreement • August 20th, 2018
Sponsored Billing is available for those students whose employer or other organization has agreed to pay tuition and fee charges to Lone Star College (LSC) on behalf of the student. Students are responsible for providing a letter on company letterhead or a company voucher from the student’s Third Party Sponsor with this form. This form must be completed and submitted every term. It is the student’s responsibility to adhere to his/her Sponsor’s policies and provide any required documents to his/her Sponsor.
THIRD PARTY BILLING AGREEMENT (RENTERS AGREEMENT)Third Party Billing Agreement • February 16th, 2018
THIRD PARTY BILLING AGREEMENTThird Party Billing Agreement • January 23rd, 2013
This agreement is in reference to U.S. importations in which J.O. Alvarez, Inc. acts as agent on behalf of , the Importer of Record, hereafter known as the Importer. It is normal practice to invoice all charges pertaining to such importations to the Importer.
THIRD PARTY BILLING AGREEMENTThird Party Billing Agreement • February 22nd, 2007
The party identified below as “Subscriber” (the “Subscriber”) has requested the receipt of Information from the committee of exchanges designated as the Options Price Reporting Authority (“OPRA”) and has entered into a Professional Subscriber Agreement with OPRA (the “Subscriber Agreement”) for that purpose. Subscriber has requested that OPRA permit the party identified below as “Payor” (the “Payor”) to assume responsibility for payment of the applicable charges for Subscriber’s receipt of the Information described below. The purpose of this Third Party Payment Agreement (this “Agreement”) is to establish terms and conditions with respect to payment of such charges. The term “Information” is used in this Agreement with the meaning assigned to it in the Subscriber Agreement.
OKLAHOMA STATE UNIVERSITY – OKLAHOMA CITYThird Party Billing Agreement • March 3rd, 2021
If the student has other sources of payment (e.g. scholarships, grants, etc.), may this payment be refunded to the student? Yes No
Third-Party Billing AgreementThird-Party Billing Agreement • May 5th, 2015
ContractThird Party Billing Agreement • November 28th, 2023
Third Party Billing Agreement 2024 Please return this completed application to Citrus Heights Water District 6230 Sylvan Rd, Citrus Heights CA 95610-5610 PO Box 286, Citrus Heights CA 95611-0286 Fax: (916) 725-0345 Voice: (916) 725-6873 Email: hello@chwd.org
Date)Third Party Billing Agreement • December 16th, 2017 • Michigan
ContractThird Party Billing Agreement • April 26th, 2022
ContractThird Party Billing Agreement • November 14th, 2018
Third-Party Billing:Third-Party Billing Agreement • May 30th, 2023
In the event that you have arranged for an exhibit house or such other third party to handle your orders/billing, a Third-Party Billing Agreement must be completed. As the exhibitor, you are responsible for all charges incurred at the show, should your exhibit house or such other third-party fail to meet the required payment terms explained below.
Third Party Billing AgreementThird Party Billing Agreement • February 17th, 2022
THIRD PARTY BILLING AGREEMENTThird Party Billing Agreement • January 12th, 2024
THIS AGREEMENT made this day of , 2023, by and between the City of Madison, Alabama, a municipal corporation in the State of Alabama (hereinafter referred to as “City”) and, the Huntsville Electric Utility Board, a municipal public utility board created by the City of Huntsville, Alabama, (hereinafter referred to as “HU”).
FLO COMMUNITY WATER SUPPLY CORPORATION 13934 FM 1511, Buffalo, TX 75831Third Party Billing Agreement • February 15th, 2018
Third-Party Billing AgreementThird-Party Billing Agreement • April 23rd, 2013
Please note that unless you inform us otherwise, this Agreement will be used for the duration of the funding period as stated on accompanying sponsorship letter.
ContractThird Party Billing Agreement • December 22nd, 2020
Third Party Billing Agreement Please return this completed application to Citrus Heights Water District 6230 Sylvan Rd, Citrus Heights CA 95610-5610 PO Box 286, Citrus Heights CA 95611-0286 Fax (916) 725-0345 Voice (916) 725-6873 Email Custserv@chwd.org Date of Application: Effective Date: Account Number: (For use by CHWD only) Service Address: I request the billing for water service as identified above, be mailed to: Third Party Information Please Print Clearly Third Party Name: Mailing Address: (if different than ServiceAddress) City: State: Zip Code: Phone #1: Phone #2: Email Address: Owner Information Property Owner's Account Number: Property Owner Name: Home Phone: Mailing Address: Work Phone: City: State: Zip Code: By State Law, Citrus Heights Water District (CHWD) looks to the land that received the service for payment. For this reason, CHWD requires the Owner to keep the account in their name, but as a courtesy, CHWD will bill the Third P
Third Party Billing Agreement FormThird Party Billing Agreement • February 25th, 2020
An outside agency wanting the University to bill for a student’s tuition and fees can use this form if they do not have a standard letter of authorization. Please read Agency Billing Overview, outlining the third party billing arrangement, before submitting this form. If no other written authorization exists, this form must be submitted before 5:00 pm by the fourth day of classes. USF must have this information on file prior to be able to properly process student invoicing. In order to be invoiced for book purchases, please submit this form at least one week before classes begin. This will allow the student to purchase books prior to the start of classes.
FLO COMMUNITY WATER SUPPLY CORPORATION 13934 FM 1511, Buffalo, TX 75831Third Party Billing Agreement • April 21st, 2014
Third Party Billing AgreementThird Party Billing Agreement • January 11th, 2013
of _, the Importer of Record, hereafter known as the Importer. It is normal practice to invoice all charges pertaining to such importations to the Importer.
Third-Party Billing AgreementThird-Party Billing Agreement • July 8th, 2015
HSTI - THIRD PARTY BILLING AGREEMENT FORMThird Party Billing Agreement • July 21st, 2020
*If employer declines or fails to pay fees, the student is responsible for the full payment due to the College of DuPage for courses taken. The student is also responsible for following-up with their employer to insure payment has been made. If balance is not paid in full, the student may be sent to collections. If requested by employer, the college may provide information relating to the student's class
Collin CollegeThird Party Billing Agreement • January 22nd, 2014
Collin College (College) and (Organization) enter into an agreement whereupon Organization agrees to pay the College for tuition, fees, books, and supplies as authorized by the Organization. The period for which this agreement covers is indicated in the space below. Additionally, in the spaces provided, the costs for which the Organization will be responsible are checked-off and amounts indicated.
Lakeshore Technical College Student Billing Office, 1290 North Ave, Cleveland, WI 53015 THIRD PARTY BILLING AGREEMENT FORM The Third Party Billing Agreement Form must be submitted to the Registration Office at the time of Registration Lakeshore...Third Party Billing Agreement • August 26th, 2021
Third Party Billing AgreementThird Party Billing Agreement • May 18th, 2016
HSTI - THIRD PARTY BILLING AGREEMENT FORMThird Party Billing Agreement • July 21st, 2020
*If employer declines or fails to pay fees, the student is responsible for the full payment due to the College of DuPage for courses taken. The student is also responsible for following-up with their employer to insure payment has been made. If balance is not paid in full, the student may be sent to collections. If requested by employer, the college may provide information relating to the student's class
Third Party Billing AgreementThird Party Billing Agreement • October 1st, 2004
billing contract (Contract) whereupon Vendor agrees to pay Collin for tuition, fees and other noted educational expenses and/or services as authorized by the Vendor in this Contract. The duration of the Contract, specific costs covered, and the amount for which the Vendor will be responsible are defined in the spaces provided.
ContractThird Party Billing Agreement • May 26th, 2017
Lakeshore Technical College Student Billing Office, 1290 North Ave, Cleveland, WI 53015 THIRD PARTY BILLING AGREEMENT FORM The Third Party Billing Agreement Form must be submitted to the Registration Office at the time of Registration Lakeshore Technical College will invoice the Company and payment is due upon receipt. Fax: 920-693-3561 e-mail: studentbilling@gotoltc.edu Company Name and Billing Address: Date of Agreement: Company Phone: Company PO (optional): Authorizing Company Official Signature: Print Name: Course Title: Class No: Start Date: Course Title: Class No: Start Date: Course Title: Class No: Start Date: Course Title: Class No: Start Date: Student ID#(LTC Staff Use) Name of Student Birthdate of Student Or last 4 digits of SS# 1 2 3 4 5 6 7 8 Costs Paid by Company: Maximum per student: Tuition: $ Books: $ Supplies: $ Maximum per this agreement: Tuition: $ Books: $ Supplies: $ Other Instructions: (App Fees, Testing Fees, Any other ple
Third Party Billing AgreementThird Party Billing Agreement • September 16th, 2020
THIRD-PARTY BILLING AGREEMENTThird-Party Billing Agreement • July 16th, 2022
As an Exhibitor electing to use third-party billing, I understand and hereby agree that the ultimate responsibility for payment of all charges is mine. Further, I agree to be bound by all terms and conditions provided to you with the “Service Kit,” including but not limited to the “Exhibitor Terms and Conditions.” In the event that the named third party fails to meet the required payment terms, charges will revert back to me, the exhibiting company.
