Laserfiche WebLink
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 /> CivicPlus•302 S.4th Street,Suite 500•Manhattan,KS 66502•www.CivicPlus.com <br /> Toll Free 888-228-2233•Accounting Ext.291•Support Ext.307•Fax 785-587-8951 <br /> Page 4 of 4 <br />