Contact Information Form definition

Contact Information Form. This form is provided below as the “Business Relationship Contact Form” and must be completed to facilitate communication with all MassHousing Departments. • Direct Deposit Sign-Up Form: This is also referred to as the 1199A form and is available through this link Standard Form 1199A. This is used by the MassHousing Treasury Department to identify the financial institution and bank account number to which electronic payments are made. The staff at MassHousing are working remotely during the Covid-19 Pandemic so there is no MassHousing staff to receive the original signed 1199A form sent via regular mail. We are asking you to have the CFO or Comptroller sign the 1199A Form and send it with a voided check as a PDF to XXXX@xxxxxxxxxxx.xxx in the same E-mail with the other documents. We will contact the CFO or Comptroller to confirm the request.
Sample 1Sample 2
Contact Information Form means the Member Contact Information Form attached to the Membership Agreement and completed by the Member in connection with its admission, or such other form as may be designated by the Company from time to time for purposes of collecting such information.
Sample 1Sample 2
Contact Information Form. This form is provided below as the “Business Relationship Contact Form” and must be completed to facilitate communication with all MassHousing Departments. • Direct Deposit Sign-Up Form: This is also referred to as the 1199A form and is available through this link Standard Form 1199A. This is used by the MassHousing Treasury Department to identify the financial institution and bank account number to which electronic payments are made. The 1199A Form must be an original form with signatures. 1199A forms that are copied, faxed or in PDF formats are not acceptable. As previously mentioned, the original 1199A form should be sent via USPS / UPS / FedEx to: MassHousing, Xxx Xxxxxx Xxxxxx - 0xx Xxxxx, Xxxxxx, XX 00000 – Attention: Quality Assurance.
Sample 1

Examples of Contact Information Form in a sentence

  • The undersigned hereby represents that it has completed the Contact Information Form attached hereto as Schedule B, and that the information provided to the Company therein is true and correct.

  • The initial designations by each Member are set forth on such Member’s Contact Information Form, with changes thereto to be effected by such Member pursuant to subsection (b) below.

  • Each Charter Member shall have the right to change its designated Representative at any time, with or without cause, by delivery of written notice to the Company as provided by this Agreement, and such new Representative shall immediately replace such Charter Member’s member on the Board of Directors, and the Company shall reflect such change in the records of the Company and in such Member’s Contact Information Form.

  • Except as otherwise specifically provided herein, each Charter Member shall have the right to designate a Representative, as set forth on such Member’s Contact Information Form or such other form as may be designated by the Company, to be a member of the Board of Directors and be entitled to Vote on any action or matter, and to participate in any meeting of the Board of Directors and in the management of the Company.

  • The initial Representatives of each Member are listed on such Member’s Contact Information Form.

Related to Contact Information Form

  • Contact Information means information to enable an individual at a place of business to be contacted and includes the name, position name or title, business telephone number, business address, business email or business fax number of the individual;

  • Business Contact Information means the names, mailing addresses, email addresses, and phone numbers of a party’s personnel, officers and directors and, with respect to Client, such information regarding Client’s vendors and customers that Accenture may have access to in maintaining the parties’ business relationship.

  • Federal contract information means information, not intended for public release, that is provided by or generated for the Government under a contract to develop or deliver a product or service to the Government, but not including information provided by the Government to the public (such as on public Web sites) or simple transactional information, such as necessary to process payments.

  • Appendix Information means the information which must be provided for the selected modules as set out in the Appendix of the Approved EU SCCs (other than the Parties), and which for this Addendum is set out in:

  • Annual Information Form means a document filed by the funds with Canadian securities regulators which provides supplementary information about the funds.

  • Client Information means any data, information, software or other materials that you provide to Red Hat under the Agreement.

  • Account Information means any information relating to the Account including without limitation to the Account number, Account balance or value, gross receipts, withdrawals and payments to or from the Account.

  • Information Page means https://indices.vontobel.com.

  • Product Information has the meaning specified in Section 10.12(a).

  • Your Information means any information relating to you, your use of the EB Services, your Electronic Instructions, your Transactions and your Accounts, including any Personal Data you provide to us.3.3 ERP Linked Services.(a) The ERP Linked Services allow you to obtain information relating to your Accounts, provide Electronic Instructions to us via the ERP Platform and use such other features, facilities or functionalities as we shall make available from time to time.(b) You irrevocably and unconditionally authorise any User to sign up and activate the ERP Linked Services.3.4 Disclosure of Your Information. In addition to Clause 8.2 of Part A of these EB Services Terms and Conditions and Clause 2.1 of this Section, you acknowledge and agree that we and our officers, employees and agents are authorised to provide or disclose Your Information to any ERP Provider and/or its affiliates. You agree and acknowledge that we shall have no responsibility or liability or control over any ERP Provider’s disclosure, use or handling of Your Information.3.5 Use of the ERP Linked Services.(a) To use the ERP Linked Services, you must be a subscriber of the ERP Platform or have a valid licence from the ERP Provider to use its ERP Platform. You agree that you are solely responsible for all costs associated with your subscription to or licence of the ERP Platform and any infrastructure (including without limitation any equipment, software, network or communication facilities) required to support your use of the ERP Platform. We shall have no responsibility or liability for any act or omission of any ERP Provider.(b) It is your responsibility to at all times (i) comply with all guides, instructions and recommendations we provide to you from time to time in relation to the use of the ERP Linked Services; and (ii) assess the security arrangements relating to your access to and use of the ERP Linked Services to ensure that they are adequate to protect your interests.(c) You shall ensure that all Data and/or Electronic Instructions transmitted to us for or in connection with the ERP Linked Services is true, accurate and complete and you shall immediately inform us in writing of any errors, discrepancies or omissions. You must check all Data received by you on the ERP Platform in connection with the ERP Linked Services. If any such Data is incorrect or omit anything it should include, you should inform us in writing immediately.(d) You acknowledge that processing of any Electronic Instructions received via the ERP Linked Services is subject to successful receipt of such Electronic Instruction by us from the ERP Provider. We shall have no responsibility or liability where you submit any Electronic Instruction through the ERP Platform but such Electronic Instruction is not successfully received by us.(e) Receipt by us of any Electronic Instruction issued or purporting to be issued by you in connection with the ERP Linked Services will constitute full and unconditional authority to us to carry out or act upon that Electronic Instruction, and we shall not be bound to investigate or enquire as to the authenticity of any such Electronic Instruction unless we have received prior written notification from you which casts doubt on its validity.

  • Patient Information means information (however recorded) which—

  • account information service means an online service to provide consolidated information on one or more payment accounts held by the payment service user with either another payment service provider or with more than one payment service provider;

  • User Information means User Compliance Information and User Financial Information.

  • Customer Account Information means personally identifiable information including Personal Data and Consumption Data. Customer Account Information also includes information received by the Company from the customer for purposes of participating in regulated utility programs, including, but not limited to bill pay assistance, shutoff protection, renewable energy, demand-side management, load management, or energy efficiency.

  • Location information means information concerning the location of an electronic device that, in whole or in part, is generated or derived from or obtained by the operation of an electronic device on a cellular telephone network or a location information service rather than obtained from a service provider.

  • Service Information means information concerning the Services provided by the Contractor to the Authority in accordance with Clause 32.1 for inclusion in the Authority's catalogue and/or any Beneficiary's catalogue from time to time;

  • Identification Information means, for an individual - the passport/ID information specified while the Client Registration.

  • Patient identifying information means an insured's address, telephone number, facsimile number, electronic mail address, photograph or likeness, employer, employment status, social security number, or any other information that is likely to lead to the identification of the insured.

  • Request for Information (RFI means a written request by Contractor directed to A/E or ODR for a clarification of the information provided in the Contract Documents or for direction concerning information necessary to perform the Work that may be omitted from the Contract Documents.

  • Personal Identifying Information or “PII” means information that alone, or in conjunction with other information, identifies an individual, as defined at Tex. Bus. & Com. Code § 521.002(1).

  • Benchmarking Information means information generated by Portfolio Manager, as herein defined including descriptive information about the physical building and its operational characteristics.

  • Contact Name Date: Address: Phone: City: State: Zip Code: Email: Credit card Check