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Contact Information <br /> *all documents must be returned:Master Service Agreement,Statement of Work,and Contact Information Sheet. <br /> Organization URL <br /> Street Address <br /> Address 2 <br /> City State Postal Code <br /> CivicPlus provides telephone support for all trained clients from 7am—7pm Central Time,Monday-Friday(excluding holidays). <br /> Emergency Support is provided on a 24/7/365 basis for representatives named by the Client. Client is responsible for <br /> ensuring CivicPlus has current updates. <br /> Emergency Contact&Mobile Phone <br /> Emergency Contact&Mobile Phone <br /> Emergency Contact&Mobile Phone <br /> Billing Contact E-Mail <br /> Phone Ext. Fax <br /> Billing Address <br /> Address 2 <br /> City State Postal Code <br /> Tax ID# Sales Tax Exempt# <br /> Billing Terms Account Rep <br /> Info Required on Invoice(PO or Job#) <br /> Are you utilizing any external funding for your project(ex.FEMA,CARES): Y [ ] or N [ ] <br /> Please list all external sources: <br /> Contract Contact Email <br /> Phone Ext. Fax <br /> Project Contact Email <br /> Phone Ext. Fax <br /> V.PD 06.01.2015-0048 <br /> Page 6 of 5 <br />