Orange County NC Website
Browse       Search
DocuSign Envelope ID:2C7A1338-7BBC-4771-A894-63C227CAO1A1 <br /> CUSTOMER INFORMATION (Please type or print): <br /> Organization <br /> Name: Orange County <br /> (Full Legal Name) <br /> Billing Frequency: ® Monthly ❑Annually <br /> Physical Address Invoice Address <br /> Street Address: 200 S. Cameron Street Same as Physical Address <br /> City: Hillsborough <br /> State: North Carolina <br /> Zip: 27278 <br /> County: Orange <br /> Telephone: 919-245-2318 <br /> Fax: <br /> Parent Company: <br /> (if applicable) <br /> Type of Organization: <br /> nLegislative ❑ Judicial ❑ Executive <br /> Professional User: Practicing Area of Law: <br /> Support Staff: Employer Identification Number: <br /> Bar No: Issuing State: <br /> Date Issued/Expiration Date: Organization Web Address: <br /> Tax Exempt: ❑Yes(attach Sales Tax Exemption Certificate) MSA: ❑Yes ❑ No <br /> ❑ No <br /> Tax ID No: State Contract No: <br /> (If applicable) <br /> PO No: <br /> (If applicable) <br /> Contacts: <br /> Name Telephone Email <br /> Installation: John Roberts 919-245-2318 joroberts @orangecountync.gov <br /> Billing: Anne Marie Tosco 919-245-2320 amtosco @orangecountync.gov <br /> Policy/Legal same as installation <br /> Notification: <br /> Scheduling/Training: same as installation <br /> Name Telephone <br /> Super Admin: same as installation <br /> Email IP Address <br /> ND:SLGovt-LexisAdvance-SubAgt-Sept2015 ID#4839-7227-7287 ©2015 LexisNexis. All rights reserved. <br /> Page 4 of 5 <br />