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Cintas Representative Initials:Customer Initials: Page 4 of 6 <br />Rev. 9.24.24 <br />Accounts Payable Contact <br />Billing Information <br />How should the Business Name read on the invoice? <br />Do you have other sites/locations within your company that are set up for billing with Cintas?  YES  NO  UNSURE <br />Are you Tax Exempt?  YES  NO If Yes, where can I get a copy of your tax-exempt form? <br />Account Payable Contact Name: <br />Account Payable Contact Phone #: <br />Account Payable Email: <br />Payer Street Address: <br />City: ST/PROV: ZIP/PC: <br />We will use the Payer address above as the address that is used for credit reference/credit check if it is different from service address. <br />Same as Payer OR  Same as Sold-To <br />Bill-To Street Address: <br />City: ST/PROV: ZIP/PC: <br />Invoice Delivery (choose one):  Leave at Site and Email  Email Only  Physically Mail  Leave at site after service <br />Do invoices require a purchase order? X YES  NO If yes, please provide PO# <br />Will the same PO need to appear on each invoice? X  YES  NO Is there an expiration <br />date? <br />Check <br />ACH/EFT - We will have our ACH/EFT team contact the AP contact above with ACH/EFT payment details <br />Credit Card - We will have our Payment Center contact the AP Contact above for credit card details <br /> Unless noted below, your AP contact above will be automatically registered to manage your Cintas account online with myCintas <br />Billing. myCintas allows you to conveniently access your account anytime using your computer, tablet, or mobile device! <br />Do not send information about Online Bill Pay (US Only) <br /> PAYER INFORMATION: This section covers the address where the person who pays the bills is and their contact information. <br /> BILL-TO INFORMATION: This section covers where the bill will be mailed/sent to. <br /> PAYMENT TERMS: Net 30 Standard <br /> WE CAN CUSTOMIZE HOW YOU RECEIVE YOUR BILL FOR PAYMENT PROCESSING <br /> PAYMENT OPTIONS <br />4 <br />4 <br />City of Pleasanton <br />PO Box 520 <br />Pleasanton Ca 94566 <br />4 <br />4 <br />Daniel Villasenor <br />925 931-5508 <br />[email protected] <br />3333 Busch Road <br />Pleasanton CA 94566 <br />Docusign Envelope ID: 1C44815D-FA12-479A-A31D-C82944DC62D1