Orange County NC Website
Page 22 of 22 CONFIDENTIAL <br />EXHIBIT C: NEW CUSTOMER INFORMATION <br />Agency Information <br />Agency name <br />Primary Contact in Accounts Payable <br />Primary Contact’s Email <br />Billing Address <br /> <br /> <br />Phone <br />Fax <br />Billing Information <br />Who should receive the invoices? <br />Email address of invoice recipient <br />Will you be submitting a purchase order to <br />us? <br /> <br />Is there a PO number that we will need to <br />put on the invoices? <br /> <br />We receive payment for invoices via ACH <br />or EFT. Please submit any paper work <br />necessary to complete this request. <br /> <br />Are you tax exempt? If yes, please email <br />a copy of your Certificate of Exemption to <br />accounting@transloc.com <br /> <br />Is there any additional information that we <br />should be aware of to ensure timely <br />processing of invoices? <br /> <br />Marketing & Communications Information <br />Name(s) of marketing and PR contact(s) <br />Email address(es) of marketing and PR <br />contact(s) <br /> <br />Are you interested in joint marketing/PR <br />opportunities? <br /> <br /> <br />DocuSign Envelope ID: B1A6CFEF-9397-4627-91E8-BBD1CB30EEADDocuSign Envelope ID: 00AEEDF8-E56F-4832-A7DF-FBD6EF554C6A