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Abigail Cooley Everett Public Library <br /> Partner 1 Name <br /> Partner 1 Pronouns <br /> Partner 1 Title <br /> Partner 1 Organization Name <br /> Partner 1 Email <br /> Partner 1 Phone <br /> Partner 2 Name <br /> Partner 2 Pronouns <br /> Partner 2 Title <br /> Partner 2 Organization Name <br /> Partner 2 Email <br /> Partner 2 Phone <br /> Partner 3 Name <br /> Partner 3 Pronouns <br /> Partner 3 Title <br /> Partner 3 Organization Name <br /> Partner 3 Email <br /> Partner 3 Phone <br /> Payment of Programming Funds <br /> Please confirm payee name and address information below(typically this is the library named in your original <br /> application,but could be the library's Foundation or Friends'Group,as needed). If you select ACH, please be sure <br /> the information below matches the institution name and address that will be provided on the ACH deposit form. <br /> The payment can be issued as either an ACH payment or paper check. <br /> Please select preferred payment method:* <br /> Make payable to:* <br /> Care of/attention to:* <br /> Address Line 1* <br /> Address Line 2 <br /> City* <br /> State* <br /> Zip Code* <br /> Confirmation of Acceptance <br /> Each party agrees that this Agreement and any other documents to be delivered in connection herewith may be <br /> electronically signed,and that any electronic signatures appearing on this Agreement or such other documents are <br /> the same as handwritten signatures for the purposes of validity,enforceability,and admissibility. <br /> Printed On:24 August 2021 NASA@ My Library 5 <br />