Orange County NC Website
Browse       Search
DocuSign Envelope ID: E2377815-D922-4567-9lC8-D342867F1906 <br /> BILL TO INFORMATION <br /> Company Name: <br /> Address: <br /> Address 2: <br /> City: <br /> State: _ <br /> Zip Code: <br /> ACCOUNTS PAYABLE CONTACT <br /> Name: <br /> Phone Number: <br /> Fax Number: <br /> E-mail: <br /> TAX STATUS <br /> Are you tax exempt? Yes No <br /> If yes,please provide tax exempt certificate <br /> Do you require a Purchase Order be listed on your invoices? Yes No <br /> If yes,please provide contact info for PO renewal: <br /> Name: <br /> Fax: <br /> Phone: <br /> E-Mail: <br /> Would you like Otis to automatically debit your bank account for your maintenance invoices? Yes No <br /> If yes,please provide blank check for bank routing and account information. <br /> ©OTIS ELEVATOR COMPANY,2011 All Rights Reserved LiNX Form MNT-OM(01/30/13)Proposal#:A0I597 <br /> Page 10 of 10 <br />