Secondary Contact Email. Please enter a valid email address that will definitely reach the Secondary Contact. xxxxxxxx@xxx.xxx Secondary Contact Phone Numbers only, no symbols or spaces (Ex. 8668398477). The system will auto-populate your entry with commas once submitted which is appropriate and expected (Ex. 8,668,398,477). Please provide the accurate and current phone number where the individual who will be secondarily responsible for all TIPS matters and inquiries for the duration of the contract can be reached directly. 0000000000 Secondary Contact Fax Numbers only, no symbols or spaces (Ex. 8668398477). The system will auto-populate your entry with commas once submitted which is appropriate and expected (Ex. 8,668,398,477). No response Secondary Contact Mobile Numbers only, no symbols or spaces (Ex. 8668398477). The system will auto-populate your entry with commas once submitted which is appropriate and expected (Ex. 8,668,398,477). 1 7 9402064015 Administration Fee Contact Name Please identify the individual who will be responsible for all payment, accounting, and other matters related to Vendor's TIPS Administration Fee due to TIPS for the duration of the contract. Xxxxxx Xxxxxxx Administration Fee Contact Email Please enter a valid email address that will definitely reach the Administration Fee Contact. 1 xxxxxxxxxxxx@xxxxxxxxx.xxx Administration Fee Contact Phone Numbers only, no symbols or spaces (Ex. 8668398477). The system will auto-populate your entry with commas once submitted which is appropriate and expected (Ex. 8,668,398,477). 2 0 9402064015
Secondary Contact Email. Please enter a valid email address that will definitely reach the Secondary Contact. XxxxxxxX@xxxxxxxxx.xxx Secondary Contact Phone Numbers only, no symbols or spaces (Ex. 8668398477). The system will auto-populate your entry with commas once submitted which is appropriate and expected (Ex. 8,668,398,477). Please provide the accurate and current phone number where the individual who will be secondarily responsible for all TIPS matters and inquiries for the duration of the contract can be reached directly. 0000000000 Secondary Contact Fax Numbers only, no symbols or spaces (Ex. 8668398477). The system will auto-populate your entry with commas once submitted which is appropriate and expected (Ex. 8,668,398,477). 1 6 0000000000 Secondary Contact Mobile Numbers only, no symbols or spaces (Ex. 8668398477). The system will auto-populate your entry with commas once submitted which is appropriate and expected (Ex. 8,668,398,477). 7 2142086473
Secondary Contact Email. Secondary Contact Email xxxxxxx.x@xxx-xxxxxxxxxxx.xxx 1
Secondary Contact Email. Secondary Contact Email xxxx.xxxxxx@xxxxxx.xxx 1 Secondary Contact Phone Enter 10 digit phone number. (No dashes or extensions) Example: 8668398477 7327357962 1 Secondary Contact Fax Enter 10 digit phone number. (No dashes or extensions) Example: 8668398477 8567924500 1 7 Secondary Contact Mobile Enter 10 digit phone number. (No dashes or extensions) Example: 8668398477 No response 1
Secondary Contact Email. Please enter a valid email address that will definitely reach the Secondary Contact. xxxxxxx@xxxxxxxxxxxxxx.xxx Secondary Contact Phone Numbers only, no symbols or spaces (Ex. 8668398477). The system will auto-populate your entry with commas once submitted which is appropriate and expected (Ex. 8,668,398,477). Please provide the accurate and current phone number where the individual who will be secondarily responsible for all TIPS matters and inquiries for the duration of the contract can be reached directly.
Secondary Contact Email. Please enter a valid email address that will definitely reach the Secondary Contact. Secondary Contact Phone Numbers only, no symbols or spaces (Ex. 8668398477). The system will auto-populate your entry with commas once submitted which is appropriate and expected (Ex. 8,668,398,477). Please provide the accurate and current phone number where the individual who will be secondarily responsible for all TIPS matters and inquiries for the duration of the contract can be reached directly. Secondary Contact Fax Numbers only, no symbols or spaces (Ex. 8668398477). The system will auto-populate your entry with commas once submitted which is appropriate and expected (Ex. 8,668,398,477). 1 Secondary Contact Mobile Numbers only, no symbols or spaces (Ex. 8668398477). The system will auto-populate your entry with commas once submitted which is appropriate and expected (Ex. 8,668,398,477). 1 No response Administration Fee Contact Name Please identify the individual who will be responsible for all payment, accounting, and other matters related to Vendor's TIPS Administration Fee due to TIPS for the duration of the contract.
Secondary Contact Email. Secondary Contact Email 4 xxxxx@xxxxxxxxxxxx.xxx Secondary Contact Phone Enter 10 digit phone number. (No dashes or extensions) Example: 8668398477 5 0000000000 Secondary Contact Fax Enter 10 digit phone number. (No dashes or extensions) Example: 8668398477 6 0000000000 Secondary Contact Mobile Enter 10 digit phone number. (No dashes or extensions) Example: 8668398477 7 0000000000 Admin Fee Contact Name Admin Fee Contact Name. This person is responsible for paying the admin fee to TIPS. Xxxxxx Xxxxxxx Admin Fee Contact Email Admin Fee Contact Email 1 9 xx@xxxxxxxxxxxx.xxx Admin Fee Contact Phone Enter 10 digit phone number. (No dashes or extensions) Example: 8668398477 0 9035944447 Purchase Order Contact Name Purchase Order Contact Name. This person is responsible for receiving Purchase Orders from TIPS. 1 xxxxxx xxxxxxx Purchase Order Contact Email Purchase Order Contact Email 2 xx@xxxxxxxxxxxx.xxx Purchase Order Contact Phone Enter 10 digit phone number. (No dashes or extensions) Example: 8668398477 3 9035944447 Company Website Company Website (Format - xxx.xxxxxxx.xxx) 2 4 xxx.xxxxxxxxxxxx.xxx Federal ID Number: Federal ID Number also known as the Employer Identification Number. (Format - 12-3456789) 00-0000000
Secondary Contact Email. Secondary Contact Email Xxxxx Range Secondary Contact Phone Enter 10 digit phone number. (No dashes or extensions) Example: 8668398477 1 Secondary Contact Fax Enter 10 digit phone number. (No dashes or extensions) Example: 8668398477 8662953039 1 Secondary Contact Mobile Enter 10 digit phone number. (No dashes or extensions) Example: 8668398477 1 8 Admin Fee Contact Name Admin Fee Contact Name. This person is responsible for paying the admin fee to TIPS. Xxxxxxxx Xxxxxx Admin Fee Contact Email Admin Fee Contact Email xxxxxxxxxx@xxxxxxxx.xxx 2 0 Admin Fee Contact Phone Enter 10 digit phone number. (No dashes or extensions) Example: 8668398477 2 1
