Daytime Phone Number definition

Daytime Phone Number. Email address: Name: Title: Name of their organization: Role of this collaborator: Daytime Phone Number: Email address: (Copy if more are required) • Names and contact information and credentials of Collaborative Practice Agreement (CPA) team members; • Practice Model and Organization of Care – specify the type of team and how patient care will be organized; • Roles and responsibilities of CPA team members – based upon an understanding of each team member’s practice area, defining each CPA team member’s roles and responsibilities; • Coordination of care – agree on who is responsible for coordination of care and team leadership, and specify the decision-making processes;
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Daytime Phone Number. Mailing Address: _ City: _ S x x x x : Zip: Email Address:
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Daytime Phone Number. Email: Owner/Authorized Signature: Date: Title (if Corporation): (President, CEO, etc.) Agent/Company Name: PAR Residential Mailing Address: 0000 Xxxxxxxx Xxxxxx St. Louis, MO 63105 Daytime Phone Number: 000-000-0000 Email: xxxxx@xxxxxxxxxxxxxx.xxx Agent’s Signature: Date: Title (if Corporation): Partner (President, CEO, etc.) Property Locator/Account Number(s): Property Address(es): (Complete additional authorization forms, if needed) (Agency Auth. 2011) Property Address: Date Purchased Purchase Price Please describe circumstances of sale (bank owned, short sale, property was listed with a realtor etc.) _ Is the property rented? If so, rent per month (per unit) $ Date of Last Appraisal (for refinance, etc) Appraised Value Please provide a copy of your sale contract, closing statement or any appraisal you may have from the last 3 years.
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Examples of Daytime Phone Number in a sentence

  • I understand there is a $500 penalty for filing a false Form W-4MN.Employee’s Signature Date Daytime Phone Number Employees: Give the completed form to your employer.EmployersSee the employer instructions to determine if you must send a copy of this form to the Minnesota Department of Revenue.

  • Name Mailing Address 1 E-mail Mailing Address 2 Daytime Phone Number City Postcode Country 2.

  • Name Mailing Address 1 E-mail Mailing Address 2 Daytime Phone Number City Postcode Country 3.

  • Presenter: Chancellor Stanback Stroud Approve Resolution 19/20-58 affirming an unwavering commitment to student success and equity.

  • Mailing Address (P.O. Box or Street) City State Zip Daytime Phone Number ( ) - Evening Phone Number: ( ) - 4.

  • Daytime Phone Number, including area code (include IDD and country codes if outside the U.S. or Canada) 2.

  • In September 2010, Judge Komar determined that the “safe yield” of the basin is 110,000 AFY and that the basin has been in a state of overdraft for over 50 years (Superior Court of California, County of Santa Clara, 2011).

  • Account Owner’s Name Joint Account Owner’s Name (if applicable) Residential Address Daytime Phone Number List only the account(s) from which you would like the redemption taken.

  • Date:REF:Payment Method:Cheque Cash PDQ BACSCheque Information:Name & Address (mandatory): Daytime Phone Number (mandatory):Alternative Phone Number:Email Address (for confirmation):TRADE BOOKING FORMPlease return the completed form along with payment to the address below TRADE STANDSUncovered space(s) 4 x 5m (13.12 x 16.40ft) @ £55.00 (£45.83 ex.

  • Your check will be mailed to the address on file with ICMA-RC.Social Security Number - - Daytime Phone Number( ) - Area CodePart B: Request for Reimbursement of Non-Recurring ExpensesUse this section to request a reimbursement of non-recurring expenses (e.g., co-payments, medications, out-of-pocket expenses).Summary of Healthcare Expenses * Incurred date is the date of service, not the billing or payment date.


More Definitions of Daytime Phone Number

Daytime Phone Number. Cell Phone:
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Daytime Phone Number. Evening Phone Number: Fax Number: Email Address: Occupancy Date: By signing below you confirm that you are entering into a contract with EnerCare Connections Inc. (“EnerCare”) for the provision by EnerCare of the Energy Services (as defined below) and for payment by you for the Energy Services provided by EnerCare and that you have read and agree to the terms and conditions set forth below and you agree that such terms and conditions are subject to EnerCare’s Conditions and Services (the “Conditions of Service”) in effect from time to time and made available on EnerCare’s website and which are subject to amendment from time to time in EnerCare’s sole discretion provided notice thereof is provided to you.
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Related to Daytime Phone Number

  • Phone Number Email Address: (Please Print) ______________________________________ ______________________________________

  • Mobile Phone Number means the Mobile Phone number which We hold with Our contact details for You or as notified by You to Us in accordance with Condition 2(d) below.

  • Telephone Number Email Address:

  • FX Telephone Numbers means those telephone numbers with rating and routing point that are different from those of the geographic area in which the End User is physically located. FX Telephone Numbers that deliver second dial tone and the ability for the calling Party to enter access codes and an additional recipient telephone number remain classified as Feature Group A (FGA) calls, and are subject to the originating and terminating carrier’s tariffed Switched Exchange Access rates (also known as “Meet Point Billed” compensation).

  • Telephone No Facsimile No.:

  • Email Address means a current valid email address.

  • Caller identification service means a service that allows a telephone subscriber to have the telephone number, and, where available, name of the calling party transmitted contemporaneously with the telephone call, and displayed on a device in or connected to the subscriber’s telephone.

  • Notification Email Address means the email address (if any) designated by Customer, via the user interface of the Processor Services or such other means provided by Google, to receive certain notifications from Google relating to these Data Processing Terms.

  • Address means a postal address or, for the purposes of electronic communication, a fax number, an e-mail or postal address or a telephone number for receiving text messages in each case registered with the charity;

  • Telephone Service means calls (including voice, voicemail and conference and data calls), supplementary services (including call forwarding and call transfer) and messaging and multi-media services (including short message services, enhanced media services and multi-media services);

  • Social Security Number Employee Date of Hire: Job Title: Employee D.O.B:

  • Delivery Address means the address stated on the Order.

  • Social Security numbers The Contractor agrees to comply with all applicable Vermont State Statutes to assure protection and security of personal information, including protection from identity theft as outlined in Title 9, Vermont Statutes Annotated, Ch. 62.

  • Service address means the service address of a member or the body corporate in terms of rule 4; and

  • Automatic Number Identification or "ANI" means a Feature Group D signaling parameter which refers to the number transmitted through a network identifying the billing number of the calling party.

  • Telephone Toll Service is As Defined in the Act.

  • IP Address means a unique number on the Internet of a network card or controller that identifies a device and is visible by all other devices on the Internet.

  • Billing address means the location indicated in the books and records of the taxpayer as the primary mailing address relating to a customer’s account as of the time of the transaction as kept in good faith in the normal course of business and not for tax avoidance purposes.

  • Automatic Location Identification or "ALI" is the automatic display at the Public Safety Answering Point (PSAP) of the caller's telephone number, the address/location of the telephone and supplementary emergency services information for Enhanced 911 (E911).

  • Plain Old Telephone Service (POTS) means telephone service for the transmission of human speech.

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

  • Fax Number Email Address: Credentialing Contact: Telephone Number: Fax Number: Email Address:

  • Mobile Number means a Telephone Number, from a range of numbers in the National Telephone Numbering Plan, that is Adopted or otherwise used to identify Apparatus designed or adapted to be capable of being used while in motion;

  • Personal Identification Number (PIN) means a confidential four-digit code number provided to a calling card customer to prevent unauthorized use of his/her calling card number. LIDB and/or the LIDB administrative system can store a PIN for those line numbers that have an associated calling card.

  • Locational Deliverability Area or “LDA” shall mean a geographic area within the PJM Region that has limited transmission capability to import capacity to satisfy such area’s reliability requirement, as determined by the Office of the Interconnection in connection with preparation of the Regional Transmission Expansion Plan, and as specified in Reliability Assurance Agreement, Schedule 10.1.

  • Automatic Location Identification Gateway or "ALI Gateway" is a computer facility into which CLEC delivers Automatic Location Identification (ALI) data for CLEC Customers. Access to the ALI Gateway will be via a dial-up modem using a common protocol. "Automatic Number Identification" or "ANI" is the Billing telephone number associated with the access line from which a call originates. ANI and Calling Party Number (CPN) usually are the same number. "Automatic Route Selection" or "ARS" is a service feature that provides for automatic selection of the least expensive or most appropriate transmission facility for each call based on criteria programmed into a circuit Switch routing table or system.