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Services, Inc:
Master Service Agreement
Schedule A with
Nashua Police Department
CUSTOMER CONTACT INFORMATION
Operations Contact Billing Contact DO Same as Operations Contact
Name: Name:
Title: Title:
Telephone: Telephone:
Fax: Fax:
E-mail: E-mail:
Address: Address:
City, State, Zip: City, State, Zip:
Tax Exempt Status
ONo 0 Yes - If yes, please include a copy of your tax-exempt determination letter or certificate.
Excluded Affiliates - Please identify affiliates, whose use of the Services will NOT be paid by you. Please identify any
additional affiliates and attach to this document.
1ST AFFILIATE - Name:
Address, City, State, and Zip:
Contact Name, Phone, and E-mail:
2ND AFFILIATE - Name:
Address, City, State, and Zip:
Contact Name, Phone, and E-mail:
3RD AFFILIATE - Name:
Address, City, State, and Zip:
Contact Name, Phone, and E-mail:
© 2019 Language Line Services, Inc. « One Lower Ragsdate Drive, Bldg. 2 * Montaray, CA 93940 © werw.LanguageLine.com* * REV 06.17.19 4
