| Payee:
Please
enter contact information for the person or company to
whom we should make checks payable. |
|
| Payee
name: |
Enter the name exactly as it should
appear on the check.
|
| Address
line 1: |
|
| Address
line 2: |
|
| Address
line 3: |
|
| City: |
|
| State,
province, or region: |
|
| Zip
or postal code: |
|
| Country: |
|
| Phone
number: |
|
| Tax ID Number: |
Enter the Employer Identification or Social Security Number of the Payee.
|
| Contact:
Please
enter contact information for the person responsible for
maintaining correspondence with Koshermeal.com. |
|
| Contact
name: |
|
| Primary
email address: Please
enter the email address that we should use for all
correspondence, payments and other important
information. |
|
| Primary
email: |
|
|
| Describe
Your Web Site: Please
enter the Name and URL of your web site. |
|
What
is the name
of your Web site? |
We will use the name of your web site in
our communications to you. |
What
is your
Web site URL? |
|
| Your
Site Description: Please
describe your site. |
Description
& comments:
Briefly describe your site, including
the type of items you intend to list. (try to keep this
under 10 lines or so) |
|