eftform1.doc
DOC document 100 KB Posted
- Attached to
- Furnishing and delivery of Heat-Fused Retroreflective Preformed Thermoplastic Pavement Markings
- Solicitation number
- S110265-vCurrent
- Issued by
- Middlesex County, Norfolk County, Plymouth County, Quincy City, Massachusetts
About this file
This document is an Electronic Funds Transfer (EFT) Form for vendors to sign up to receive electronic payments from the state of Massachusetts. The form requires vendors to provide their Taxpayer Identification Number (TIN), vendor information including name, contact, email, and address, as well as their bank information including bank name, transit number, account number, and account type. Vendors must print the completed form and submit it to the department they do business with. The form does not contain any information about a specific state or local contract opportunity.
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Text version
Electronic Funds Transfer Form: This is a representation of the online sign-up form. Please sign up online at: https://massfinance.state.ma.us/VendorWeb/eftRegisterfrm.asp
INCLUDEPICTURE "https://massfinance.state.ma.us/images/img_SubEndMenu.GIF" \* MERGEFORMATINET
INCLUDEPICTURE "https://massfinance.state.ma.us/images/img_EndMenu.GIF" \* MERGEFORMATINET
INCLUDEPICTURE "https://massfinance.state.ma.us/images/img_Line.gif" \* MERGEFORMATINET
HYPERLINK "https://massfinance.state.ma.us/VendorWeb/eftfaq.asp"
Electronic Funds Transfer You will need to print your Authorization for EFT Payments form. Please complete all fields below, generate the form, and mail to your contact at the Department you do business with.
AUTHORIZED PERSON
First Name:
Last Name:
VENDOR INFORMATION
TIN * :
Vendor Name:
Contact Name:
E-mail:
Telephone:
Address:
City:
State:
Zip: +
VENDOR BANK INFORMATION
Bank Name:
Transit Number:
Account Number:
Account Type:
Checking Account Saving Account
* TIN is your Vendor Tax Identification Number
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File details come from the government source that posted it. Updated .