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2. Main Account - Payment Information
   Please have your completed W-9 ready before starting this application. At the end of the Application you will have an opportunity to upload a PDF file of your completed W-9.
4. Click the link below to obtain a W-9
   IRS Form W-9
6. Name of PERSON or DEPARTMENT that you are woking with in the District*
8. Legal Business Name (as shown on W-9)*
9. Tax ID or Social Security Number*
11. Company Name (as you would like it shown on checks)*
12. Payment Address*
14. Main Contact Name*
15. City*
16. State*
18. Main Contact Email*
19. Zip Code*
21. Phone*
22. Fax
24. Payment Terms*

    1. NET
    2. Due Upon Receipt
25. NET Terms
27. W-9 File Upload
31. Authorized Signature*
33. Title*
35. Date*
37. By checking this box I verify that I am an Authorized to sign legal documents for this Business*

    1. Yes
Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit Submit and Print

* indicates a required field