Common use of Name and Contact Information Clause in Contracts

Name and Contact Information. Full legal name of record holder: ---------------------------------- Address of record holder: ---------------------------------- Social Security Number or Taxpayer identification number of record holder: ---------------------------------- Identity of beneficial owner (if different than record holder): ---------------------------------- Name of contact person: ---------------------------------- Telephone number of contact person: ---------------------------------- Fax number of contact person: ---------------------------------- E-mail address of contact person: ----------------------------------

Name and Contact Information. Full legal name of record holder: ---------------------------------- -------------------------------- Address of record holder: ---------------------------------- -------------------------------- Social Security Number or Taxpayer identification number of record holder: ---------------------------------- -------------------------------- Identity of beneficial owner (if different than record holder): ---------------------------------- -------------------------------- Name of contact person: ---------------------------------- -------------------------------- Telephone number of contact person: ---------------------------------- -------------------------------- Fax number of contact person: ---------------------------------- -------------------------------- E-mail address of contact person: ------------------------------------------------------------------

Name and Contact Information. Full legal name of record holder: ---------------------------------- __________________________________________ Address of record holder: ---------------------------------- __________________________________________ Social Security Number or Taxpayer identification number of record holder: ---------------------------------- __________________________________________ Identity of beneficial owner (if different than record holder): ---------------------------------- __________________________________________ Name of contact person: ---------------------------------- __________________________________________ Telephone number of contact person: ---------------------------------- __________________________________________ Fax number of contact person: ---------------------------------- __________________________________________ E-mail address of contact person: ----------------------------------__________________________________________

Name and Contact Information. Full legal name of record holder: ---------------------------------- ------------------------ Address of record holder: ---------------------------------- ------------------------ ------------------------ Social Security Number or Taxpayer ------------------------ identification number of record holder: ---------------------------------- Identity of beneficial owner (if different ------------------------ than record holder): ---------------------------------- Name of contact person: ---------------------------------- ------------------------ Telephone number of contact person: ---------------------------------- ------------------------ Fax number of contact person: ---------------------------------- ------------------------ E-mail address of contact person: ----------------------------------------------------------