Telephone Number. Email Address:
Telephone Number. Facsimile: Email:
Telephone Number. Email Address: Submit with the bid or proposal or if submitting after award, submit to the MWBE Program Unit: New York State Governor’s Office of Storm Recovery 00 Xxxxxx Xxxxxx, 0xx Xxxxx Xxx Xxxx, XX 00000 Email to: XXXX_XXXXxxxxxxx@xxxxxxxxxxxxx.xx.xxx ******************** FOR AGENCY USE ONLY ******************** REVIEWED BY: DATE: Waiver Granted: YES MBE: WBE: Total Waiver Partial Waiver ESD Certification Waiver *Conditional Notice of Deficiency Issued *Comments: REQUIREMENTS AND DOCUMENT SUBMISSION INSTRUCTIONS When completing the Request for Waiver Form please check all boxes that apply. To be considered, the Request for Waiver Form must be accompanied by documentation for items 1 – 11, as listed below. If box # 3 has been checked above, please see item 11. Copies of the following information and all relevant supporting documentation must be submitted along with the request:
Examples of Telephone Number in a sentence
WASHINGTON ASSOCIATION OF SIGNATORY GLAZING CONTRACTORS, INC: IUPAT DISTRICT COUNCIL 5: Signature Signature Xxxx XxXxxxx, Business Representative Printed Name & Title Printed Name & Title Date Date Address City, ST, Zip Code Telephone Number Fax Number Cell Phone Number E-mail Address WA State Contractors Registration # Federal Tax ID # The following Employers comprise the Washington Association of Signatory Glazing Contractors - In-shop Production.
More Definitions of Telephone Number
Telephone Number. Fax Number: Email Address: CFO:
Telephone Number. Symbol: ____________________________________________ Type of order (Check Creation or Redemption please) Creation: Redemption: # of Baskets: Number of Baskets written out: Order # Please indicate Bullion clearing agent: For Silver only For Gold, Palladium and Platinum HSBC o XX Xxxxxx o Other (please specify clearing agent): ____________________ Account number for Bullion delivery: ________________________________________ This Purchase or Redemption Order is subject to the terms and conditions of the Trust Agreement of the Shares of the Trust as currently in effect and the Authorized Participant Agreement between the Authorized Participant, the Trustee and the Sponsor named therein. All representations and warranties of the Authorized Participant set forth in such Trust Agreement (including, if this is a Purchase Order, the representations in Section 3.2 of the Trust Agreement).and in the Authorized Participant Agreement are incorporated herein by reference and are true and accurate as of the date hereof. The undersigned does hereby certify as of the date set forth below that he/she is an Authorized Representative under the Authorized Participant Agreement and that he/she is authorized to deliver this Purchase or Redemption Order to the Trustee on behalf of the Authorized Participant. The Authorized Participant acknowledges and agrees that (1) once accepted by the Trustee, this Purchase or Redemption Order will become a legally binding contract for the delivery of the Basket Amount per Basket, or the number of Baskets, indicated above, and that the final Basket Amount will be announced at the conclusion of the trading day and, (2) any taxes (including Value Added Taxes) incurred in connection with this transaction will be the responsibility of, and will be reimbursed upon demand from the Custodian or the Trust by, the Authorized Participant if required pursuant to the Authorized Participant Agreement. __________________ ________________________________________ ________________________________________ Authorized Representative’s Signature Date
Telephone Number. Fax Number:
Telephone Number. (Area Code) (Number) Jurisdiction of Incorporation:_________________________________________ Date of Formation:_________________________________________________ Taypayer Identification Number:______________________________________ Number of Shareholders:____________________________________________
Telephone Number. E-mail: ...............................................................
Telephone Number. (Area Code) Number Fax Number: (Area Code) Number The full names of persons and firms interested in the foregoing bid as principals are as follows: