Orange County NC Website
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DocuSign Envelope ID:818337D8-7142-453C-8DE1-5D9B9A037D1E <br /> it <br /> f TMTUS <br /> AGREEMENT FOR SERVICES <br /> Teleanguage's number for automatic connection via Audio Only Button. <br /> Hospital/Health System Information <br /> Hospital or System Name: Orange County Health Department <br /> Sales Tax Exempt: Yes ❑ No ❑✓ (If Yes, the Tax Exempt Certificate must be included with the order) <br /> Main Contact: Susan Clifford Phone: 919-245-2387 Email: sclifford @orangecountync.gov <br /> Billing Contact: Phone: Email: <br /> IT Contact: Phone: Email: <br /> Shipping Addresses Billing Address <br /> Note:Include all shipping addresses <br /> Please fill in the details above. <br /> AFS-7/10/2015 Confidential and Proprietary Page 4 of 7 <br />