Name: Address definition

Name: Address. City: County: State: Country: Tel. Number: Cell Number: Fax Number: Email:
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Name: Address. American Land Lease, Inc. 00000 X.X. Xxx. 00 Xxxxx Xxxxxxxxxx, Xxxxxxx 00000 Corporation x Partnership ¨ Individual/sole proprietor ¨ Trust ¨ Limited liability company ¨ Enter the tax classification (D=disregarded entity, C=Corporation, P=Partnership Taxpayer is (check if applicable): x Exempt from backup withholding
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Name: Address. Phone: Name: Address: Phone: Previous Fuel Provider: For How Long: Bank Information:
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Examples of Name: Address in a sentence

  • Vendor Name: Address: City: State:Zip: The undersigned being authorized to certify, hereby certifies that the submission provided herein represents compliance with the provisions of N.J.S.A. 19:44A-20.26 and as represented by the Instructions accompanying this form.

  • Each monthly report will detail the Client Name, Address, and Date and Time the Recipient Broker/Agent’s information was provided to the Referred Client.

  • Tenderer's JV Information Form(to be completed for each member of Tenderer's JV) Date: ITT No. and title: Tenderer’s JV name:JV member’s name:JV member’s country of registration:JV member’s year of constitution:JV member’s legal address in country of constitution:JV member’s authorized representative information Name: Address: Telephone/Fax numbers: E-mail address: 1.

  • Primary Emergency Coordinator Name: Address: City: Phone: (Work) (Home) Alternate Emergency Coordinator Name: Address: City: Phone: (Work) (Home) Emergency Response Agencies POLICE: 1.

  • Date: ITT No. and title: Tenderer's nameIn case of Joint Venture (JV), name of each member:Tenderer's actual or intended country of registration:[indicate country of Constitution]Tenderer's actual or intended year of incorporation:Tenderer's legal address [in country of registration]:Tenderer's authorized representative information Name: Address: Telephone/Fax numbers: E-mail address: 1.


More Definitions of Name: Address

Name: Address. Tax Identification Number: Physical Location of Notes (including address): Address: Contact:
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Name: Address. Dated: ___________, ______.
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Name: Address. City: State: Zip: Phone: ( ) Email: What kind of special event Date(s) of your event: Guest count: Estimated Budget: Your signature:
Sample 1
Name: Address. Deliver to: Address:
Sample 1
Name: Address. Facsimile: Phone:
Sample 1
Name: Address. City: State: Country: Zip Code: Phone:
Sample 1
Name: Address. City: Country: Attention: or, if sent to the Seller, shall be delivered, sent by registered mail or by telecopy and confirmed to the Company at: Palomar Medical Technologies, Inc. 66 Cherry Hill Drive Beverly, XX 00000 Xxxxxxxxx: Xxxx X. Xxxxxx, Xorporate Controller Xxxxxxxne: (508) 921-9300 Telecopy: (000) 000-0801
Sample 1