Laserfiche WebLink
Number of expected recipients paid per month per solution selected: <br />Program: c/m5 number a?tt:, <br />*Processor will use this number to determine the initial inventory needs of Cards. <br />The following individuals are authorized to act on behalf of Client: <br />Executive Contact Administrative Contact <br />Name: Cll~ Vb t½ Name: 'vhun cfl1:ck'ene1'e <br />Phone Number: 5CJ? ~-Yoe.S'S Phone Number: tfo:? q;::,..;t 4,¥.r-66..R:9 <br />Fax: __________ _ <br />Primary Contact (day-to-day operations) <br />Name: 00~ o/'6t{ <br />Phone Number: ~ 9'Go:J • r5!f.g <br />Fax: __________ _ <br />E-mail: ~. k, i½, SC <br />C?co . .2;'#"ibs, 2-c.0. 2.ts <br />RAPID Agreement <br />Fax: __________ _ <br />Secondary Contact (day-to-day operations) <br />Name: 7:hn1e/ tfer/e5h,,re <br />Phone Number: tft::,C;, ~q/-~~ <br />Fax: __________ _ <br />E-mail: c:60~ /2.r~i"c-, Sc c;;;J <br />eo . ..'c~ib,s. u,::;. ur <br />page 13 of 13