About Us
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Our location
Pay an Invoice
Contact Verification Form
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Contact Verification
Let us know who you are
General Information
Company Name
Billing Address
City
State
9-digit Zip Code
*
Don't know your 9-digit zip code? You can find it here:
https://tools.usps.com/go/ZipLookupAction!input.action
Is Billing the same as Shipping address?
*
Yes
No
Shipping Address
City
State
9-digit Zip Code
*
Don't know your 9-digit zip code? You can find it here:
https://tools.usps.com/go/ZipLookupAction!input.action
Main Phone Number
Website
Fax
Twitter
General Email
Facebook Page
Primary Contact
First Name
Last Name
Title
Office Phone
Mobile Phone
Email
Type of Contact
Accounting
Technical
After-Hours
Client Portal Access
Purchasing
Primary Contact
First Name
Last Name
Title
Office Phone
Mobile Phone
Email
Type of Contact
Technical
After-Hours
Client Portal Access
Billing (Will Receive Invoices)
Additional Contacts
List
First Name
Last Name
Title
Office Phone
Mobile Phone
Email
Client Portal Access (Yes/No)
If your organization is tax exempt, upload your valid Minnesota ST-3
Max. file size: 2 MB.
Invoice Delivery Preference
*
Email
Postal Mail
Payment Preference
*
Automatic ACH
Automatic Credit Card
Manual Payments - checks, one-time credit cards, one time ACH
Payment information not collected on this form for security reasons. To submit payment information, download and fax us this
Payment Form
By submitting this form, I hereby confirm that I am a primary contact for my business. I understand that I am responsible for updating this information when necessary. The Foundation is not responsible or liable for incorrect data. If there are any questions, please contact your account rep.
Phone
This field is for validation purposes and should be left unchanged.
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