eftform.mht

MHT file 81 KB Posted Mar 19, 2008

Attached to: Game Development: Educating Persons with Disabilities to Recognize, Report and Respond to Abuse
Solicitation number: S112541-vCurrent
Issued by: Norfolk County, Quincy City, Massachusetts

About this file

Written by GovTribe AI · Aug 26, 2024

This document is an electronic funds transfer (EFT) sign-up form for the Massachusetts Comptroller's Office (OSC) related to doing business with the Commonwealth of Massachusetts. The form collects vendor information such as name, contact details, and bank account information to facilitate electronic payments. Vendors must complete and submit the form to the department they do business with in order to receive electronic payments. The form does not include any information about a specific contract opportunity.

Text of this file

From: "Saved by Windows Internet Explorer 7" Subject: MassFinance - VendorWeb: Electronic Funds Transfer Sign Up Date: Wed, 19 Mar 2008 17:46:59 -0400 MIME-Version: 1.0 Content-Type: multipart/related;

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<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" = "http://www.w3c.org/TR/1999/REC-html401-19991224/loose.dtd"> <HTML><HEAD><TITLE>MassFinance - VendorWeb: Electronic Funds Transfer = Sign Up</TITLE> <META http-equiv=3DContent-Type content=3D"text/html; = charset=3Dwindows-1252"> <META http-equiv=3DContent-Language = content=3Den-US><LINK=20 href=3D"https://massfinance.state.ma.us/VendorWeb/CommonImages/css/global= .css"=20 type=3Dtext/css rel=3Dstylesheet><LINK media=3Dprint=20 href=3D"https://massfinance.state.ma.us/VendorWeb/CommonImages/css/global= print.css"=20 type=3Dtext/css rel=3Dstylesheet><LINK=20 href=3D"https://massfinance.state.ma.us/VendorWeb/CommonImages/css/Aosc.c= ss"=20 type=3Dtext/css rel=3Dstylesheet><LINK=20 href=3D"https://massfinance.state.ma.us/VendorWeb/CommonImages/css/vendor= web.css"=20 type=3Dtext/css rel=3Dstylesheet> <SCRIPT language=3DJavaScript> function submitConfirm() if (confirm("Please verify all informations.\nPrint it out and mail = in with your voided check, if using checking account.\n\nThank You!")) return true;

else return false;

</SCRIPT>

<META content=3D"MSHTML 6.00.6000.16609" name=3DGENERATOR></HEAD> <BODY class=3Dtopic> <DIV id=3Dcontainer> <DIV id=3DskipToContent> <H2 class=3Dhidethis>Skip to page content</H2> <UL id=3Dquicklinks> <LI><A title=3D"Skip to Page Content"=20 href=3D"https://massfinance.state.ma.us/VendorWeb/eftRegisterfrm.asp#page= content">Skip=20 to Page Content</A>

<STYLE type=3Dtext/css>#logo { BACKGROUND-IMAGE: url(CommonImages/images/headers/Aosc/head_img_2.jpg)

</STYLE>

<DIV id=3Dmasthead> <P id=3Dsiteinfo>The Official Website of the Comptroller of the = Commonwealth=20

(OSC)</P>

<P id=3Dlogo><A title=3D"Mass.Gov Home"=20 href=3D"http://www.mass.gov/?pageID=3Dmg2homepage&L=3D1&L0=3DHome= &sid=3Dmassgov2"=20 target=3D_blank>Mass.Gov Home</A></P> <P id=3Dsitename><A title=3D"Vendor Web Banner"></A></P> <H2 class=3Dhidethis>Main Navigation</H2> <UL id=3Dquicklinks> <LI class=3Dtopic_home><A title=3D"OSC Home"=20 href=3D"http://www.mass.gov/?pageID=3Doschomepage&L=3D1&sid=3DAos= c&L0=3DHome"=20 target=3D_blank>OSC Home</A>=20 <LI><A title=3D"Mass.Gov Home"=20 href=3D"http://www.mass.gov/?pageID=3Dmg2homepage&L=3D1&L0=3DHome= &sid=3Dmassgov2"=20 target=3D_blank>Mass.Gov Home</A>=20 <LI><A title=3D"State Agencies"=20 href=3D"http://www.mass.gov/?pageID=3Dmg2topic&L=3D3&L0=3DHome&am= p;L1=3DState+Government&L2=3DBranches+%26+Departments&sid=3Dmassg= ov2"=20 target=3D_blank>State Agencies</A>=20 <LI><A title=3D"State Online Services"=20 href=3D"http://www.mass.gov/?pageID=3Dmg2onlineservices&L=3D1&L0=3D= Home&f=3DHome_more&sid=3Dmassgov2"=20 target=3D_blank>State Online Services</A> </LI></UL></DIV> <DIV id=3Dcontent><A name=3Dpagecontent></A> <TABLE cellSpacing=3D0 cellPadding=3D4 width=3D"100%" border=3D0>

<TBODY>

<TR>

<TBODY>

<TR bgColor=3Dwhite> <TD> </TD> <TD><FONT size=3D2><A title=3D"How to Use VendorWeb link"=20 href=3D"https://massfinance.state.ma.us/VendorWeb/VendorInstruction.asp">= How=20 to Use VendorWeb</A></FONT></TD></TR> <TR bgColor=3Dwhite> <TD> </TD> <TD><FONT size=3D2><A title=3D"What is EFT? link"=20 href=3D"https://massfinance.state.ma.us/VendorWeb/eftWhatis.asp">What=20 is EFT?</A></FONT></TD></TR> <TR bgColor=3D#fff3de> <TD> </TD> <TD><FONT size=3D2><A title=3D"EFT Signup link"=20 href=3D"https://massfinance.state.ma.us/VendorWeb/eftRegisterfrm.asp">EFT= =20 Signup</A></FONT></TD></TR> <TR bgColor=3Dwhite> <TD> </TD> <TD><FONT size=3D2><A title=3D"Department Contacts link"=20 href=3D"http://www.mass.gov/Aosc/docs/CTRInfo/ContactLists/key_contact_mm= ars_liaisons.xls"=20 target=3D_blank ?>Department=20 Contacts</A></FONT></TD></TR></TBODY></TABLE></TD> <TD vAlign=3Dtop> <TABLE cellSpacing=3D0 cellPadding=3D0 width=3D"100%" border=3D0>

<TBODY>

<TR>

<TD>

<TBODY>

<TR>

<TD vAlign=3Dcenter bgColor=3Dwhite><FONT size=3D2><A=20 title=3D"Home link"=20 href=3D"https://massfinance.state.ma.us/VendorWeb/vendorWelcome.asp">Home= </A> </FONT></TD> <TD vAlign=3Dcenter bgColor=3Dwhite><FONT size=3D2><A=20 title=3D"Glossary link"=20 href=3D"http://www.mass.gov/?pageID=3Doscterminal&L=3D3&L0=3DHome= &L1=3DGuidance+for+Agencies&L2=3DHow-To&sid=3DAosc&b=3Dte= rminalcontent&f=3Dhow_to_mmars_glossary&csid=3DAosc"=20 target=3D_blank ?>Glossary</A> </FONT></TD> <TD vAlign=3Dcenter bgColor=3Dwhite><FONT size=3D2><A=20 title=3D"EFT Sign-Up link"=20 href=3D"https://massfinance.state.ma.us/VendorWeb/eftRegisterfrm.asp">EFT= =20 Sign-Up</A> </FONT></TD> <TD vAlign=3Dcenter bgColor=3Dwhite><FONT size=3D2><A=20 title=3D"Feedback link"=20 href=3D"https://massfinance.state.ma.us/VendorWeb/vendorFeedback.asp">Fee= dback</A> </FONT></TD> <TD vAlign=3Dcenter bgColor=3Dwhite><FONT size=3D2><A=20 title=3D"FAQs link"=20 href=3D"https://massfinance.state.ma.us/VendorWeb/vendorFAQs.asp">FAQs</A= > </FONT></TD> <TD vAlign=3Dcenter bgColor=3Dwhite><FONT size=3D2><A=20 title=3D"Help link"=20 href=3D"https://massfinance.state.ma.us/VendorWeb/vendorHelp.asp">Help</A= > </FONT></TD> <TD vAlign=3Dcenter><FONT size=3D2><A title=3D"Log In = link"=20 href=3D"https://massfinance.state.ma.us/VendorWeb/vendor.asp?login=3D1">L= og=20 In</A></FONT></TD></TR></TBODY></TABLE><BR></TD></TR></TBODY></TABLE><!--=

BEGIN PAYINFO MAIN BODY CONTENT-->

<H1>Electronic Funds Transfer Sign Up</H1><I>Please complete all = fields=20 below, generate the form, print it and mail to your contact at the =

Department you do business with.</I>=20 <FORM name=3DfrmEftRegister action=3DeftRegister.asp = method=3Dpost> <TABLE cellSpacing=3D1 cellPadding=3D1 align=3Dcenter border=3D0>

<TBODY>

<TR>

<H3>AUTHORIZED PERSON</H3></TD></TR>

<TR>

<TD align=3Dright> <P><LABEL for=3DtxtFirstName>First Name:</LABEL></P></TD> <TD><BR><INPUT id=3DtxtFirstName size=3D30 = name=3DtxtFirstName></TD></TR>

<TR>

<TR>

<H3>VENDOR INFORMATION</H3></TH></TR>

<TR>

<TR>

<TD align=3Dright> <P><LABEL for=3DtxtVBName>Vendor Name:</LABEL></P></TD> <TD><INPUT id=3DtxtVBName size=3D30 = name=3DtxtVBName></TD></TR>

<TR>

<TD align=3Dright> <P><LABEL for=3DtxtVContactName>Contact = Name:</LABEL></P></TD> <TD><INPUT id=3DtxtVContactName size=3D30 = name=3DtxtVContactName> </TD></TR>

<TR>

<TR>

<TD align=3Dright> <P><LABEL for=3DtxtTelephone>Telephone:</LABEL></P></TD> <TD><INPUT id=3DtxtTelephone size=3D30 name=3DtxtTelephone> =

</TD></TR>

<TR>

<TD align=3Dright> <P><LABEL for=3DtxtAddress>Address:</LABEL></P></TD> <TD><INPUT id=3DtxtAddress size=3D30 name=3DtxtAddress> =

</TD></TR>

<TR>

<TR>

<TD align=3Dright> <P><LABEL for=3DoptState>State:</LABEL></P></TD> <TD><SELECT id=3DoptState name=3DoptState> <OPTION value=3D""=20 selected>Select</OPTION> <OPTION = value=3DAlabama>Alabama</OPTION>=20 <OPTION value=3DAlaska>Alaska</OPTION> <OPTION=20 value=3DArizona>Arizona</OPTION> <OPTION=20 value=3DArkansas>Arkansas</OPTION> <OPTION=20 value=3DCalifornia>California</OPTION> <OPTION=20 value=3DColorado>Colorado</OPTION> <OPTION=20 value=3DConnecticut>Connecticut</OPTION> <OPTION=20 value=3DDelaware>Delaware</OPTION> <OPTION=20 value=3DFlorida>Florida</OPTION> <OPTION=20 value=3DGeorgia>Georgia</OPTION> <OPTION=20 value=3DHawaii>Hawaii</OPTION> <OPTION = value=3DIdaho>Idaho</OPTION>=20 <OPTION value=3DIllinois>Illinois</OPTION> <OPTION=20 value=3DIndiana>Indiana</OPTION> <OPTION = value=3DIowa>Iowa</OPTION>=20 <OPTION value=3DKansas>Kansas</OPTION> <OPTION=20 value=3DKentucky>Kentucky</OPTION> <OPTION=20 value=3DLouisiana>Louisiana</OPTION> <OPTION=20 value=3DMaine>Maine</OPTION> <OPTION=20 value=3DMaryland>Maryland</OPTION> <OPTION=20 value=3DMassachusetts>Massachusetts</OPTION> <OPTION=20 value=3DMichigan>Michigan</OPTION> <OPTION=20 value=3DMinnesota>Minnesota</OPTION> <OPTION=20 value=3DMississippi>Mississippi</OPTION> <OPTION=20 value=3DMissouri>Missouri</OPTION> <OPTION=20 value=3DMontana>Montana</OPTION> <OPTION=20 value=3DNebraska>Nebraska</OPTION> <OPTION=20 value=3DNevada>Nevada</OPTION> <OPTION value=3D"New = Hampshire">New=20 Hampshire</OPTION> <OPTION value=3D"New Jersey">New = Jersey</OPTION>=20 <OPTION value=3D"New Mexico">New Mexico</OPTION> <OPTION=20 value=3D"New York">New York</OPTION> <OPTION=20 value=3D"North Carolina">North Carolina</OPTION> <OPTION=20 value=3D"North Dakota">North Dakota</OPTION> <OPTION=20 value=3DOhio>Ohio</OPTION> <OPTION = value=3DOklahoma>Oklahoma</OPTION>=20 <OPTION value=3DOregon>Oregon</OPTION> <OPTION=20 value=3DPennsylvania>Pennsylvania</OPTION> <OPTION=20 value=3D"Rhode Island">Rhode Island</OPTION> <OPTION=20 value=3D"South Carolina">South Carolina</OPTION> <OPTION=20 value=3D"South Dakota">South Dakota</OPTION> <OPTION=20 value=3DTennessee>Tennessee</OPTION> <OPTION=20 value=3DTexas>Texas</OPTION> <OPTION = value=3DUtah>Utah</OPTION>=20 <OPTION value=3DVermont>Vermont</OPTION> <OPTION=20 value=3DVirginia>Virginia</OPTION> <OPTION=20 value=3DWashington>Washington</OPTION> <OPTION=20 value=3DWashington,D.C.>Washington,D.C.</OPTION> <OPTION=20 value=3D"West Virginia">West Virginia</OPTION> <OPTION=20 value=3DWisconsin>Wisconsin</OPTION> <OPTION=20 value=3DWyoming>Wyoming</OPTION></SELECT> <LABEL=20 for=3DtxtZip>Zip:</LABEL> <INPUT id=3DtxtZip maxLength=3D5 = size=3D5=20 name=3DtxtZip><LABEL for=3DtxtZiplus4>+</LABEL> <INPUT = id=3DtxtZiplus4=20 maxLength=3D4 size=3D4 name=3DtxtZiplus4> </TD></TR>

<TR>

<H3>VENDOR BANK INFORMATION</H3></TD></TR>

<TR>

<TD align=3Dright> <P><LABEL for=3DtxtVBankName>Bank Name:</LABEL></P></TD> <TD><INPUT id=3DtxtVBankName size=3D30 name=3DtxtVBankName> =

</TD></TR>

<TR>

<TD align=3Dright> <P><LABEL for=3DtxtVBRoutingNumber>Transit = Number:</LABEL></P></TD> <TD><INPUT id=3DtxtVBRoutingNumber maxLength=3D9 size=3D30=20 name=3DtxtVBRoutingNumber></TD></TR>

<TR>

<TD align=3Dright> <P><LABEL for=3DtxtVBAccountNumber>Account = Number:</LABEL></P></TD> <TD><INPUT id=3DtxtVBAccountNumber size=3D30 = name=3DtxtVBAccountNumber>=20

</TD></TR>

<TR>

<TD align=3Dright> <P><LABEL for=3DtxtAccountType>Account = Type:</LABEL></P></TD>

<TD>

<P><INPUT id=3DtxtAccountType type=3Dradio value=3D"Checking = Account"=20 name=3DtxtAccountType>Checking Account <INPUT = id=3DtxtAccountType=20 type=3Dradio value=3D"Saving Account" = name=3DtxtAccountType>Saving=20 Account</P></TD></TR>

<TR>

<TD align=3Dmiddle colSpan=3D2><BR><FONT = face=3DArial,Helvetica,sans-serif=20 size=3D-1>Fill all the fileds above, click "Print Form", = <BR>and mail=20 to the Department you do business with. = </FONT><BR><BR><INPUT class=3DinputButton title=3D"Clear Form" = type=3Dreset value=3D"Clear Form" name=3DcmdReset>=20 <INPUT class=3DinputButton title=3D"Print Form" onclick=3D"return = submitConfirm()" type=3Dsubmit value=3D"Print Form" = name=3DcmdSubmit></TD></TR>

<TR>

<HR>

<B>* TIN</B> <I>is your Vendor Tax Identification Number</I> =

<BR></TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE><!--ENDED =

PAYINFO MAIN BODY CONTENT--></DIV> <UL id=3Dfooter> <LI id=3Dcopyright>=A9 2008 Commonwealth of Massachusetts=20 <LI><A title=3D"Feedback Email"=20 href=3D"mailto:comptroller.info@state.ma.us?subject=3DVendorWeb"=20 target=3D_blank>Feedback Email</A>=20 <LI><A title=3D"Accessibility Policy"=20 href=3D"http://www.mass.gov/?pageID=3Doscutilities&sid=3DAosc&U=3D= Aosc_access_policy"=20 target=3D_blank>Accessibility Policy</A>=20 <LI><A title=3D"PayInfo Privacy Policy"=20 href=3D"http://www.mass.gov/?pageID=3Doscutilities&sid=3DAosc&U=3D= Aosc_site_policies"=20 target=3D_blank>Privacy Policy</A> </LI></UL></DIV></FORM></BODY></HTML>

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OL {

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HR + TABLE {

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LABEL {

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BUTTON {

SELECT {

BUTTON {

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BACKGROUND: =

url(/MassFinance/VendorWeb/CommonImages/images/navigation/tab_active.gif)= #fff no-repeat 100% 0px #menu A.current {

BACKGROUND: =

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COLOR: #585858

#breadcrumbs A:visited {

COLOR: #585858

#breadcrumbs A {

COLOR: #585858

.breadcrumbs A:link {

COLOR: #585858

.breadcrumbs A:visited {

COLOR: #585858

.breadcrumbs A {

COLOR: #585858

#breadcrumbs A:hover { COLOR: #ff9900; TEXT-DECORATION: underline .breadcrumbs A:hover { COLOR: #ff9900; TEXT-DECORATION: underline #breadcrumbs A:active {

COLOR: #585858

.breadcrumbs A:active {

COLOR: #585858

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BACKGROUND: =

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WIDTH: 160px; MARGIN-RIGHT: 10px; BORDER-BOTTOM-STYLE: = none #content_secondary * { MAX-WIDTH: 160px .topic #featurestory {

BACKGROUND: =

url(/MassFinance/VendorWeb/CommonImages/images/navigation/dbl_border.gif)= #fff repeat-x left top; PADDING-TOP: 10px .constituent #featurestory {

BACKGROUND: =

url(/MassFinance/VendorWeb/CommonImages/images/navigation/dbl_border.gif)= #fff repeat-x left top; PADDING-TOP: 10px .module { PADDING-RIGHT: 0px; PADDING-LEFT: 0px; BACKGROUND: = url(/MassFinance/VendorWeb/CommonImages/images/navigation/dbl_border.gif)= #fff repeat-x left bottom; MARGIN-BOTTOM: 1px; PADDING-BOTTOM: 0px; = PADDING-TOP: 0px .linkimage { MARGIN-TOP: 10px; MARGIN-BOTTOM: 5px; PADDING-BOTTOM: 10px; =…

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File details come from the government source that posted it. Updated Aug 26, 2024.