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2. 1. Customer Information
4. Business Name
6. Business Address
8. Name of Authorized Business Representative
10. 2. Email Address for Electronic Invoices
12. Email
14. 3. Authorization
16. I authorize the Town of Carrboro to send all future invoices to the email address provided above. I understand that I will no longer receive paper invoices.

    1. Yes
    2. No
18. 4. Agreement & Signature
20. • Authorized Business Representative Signature

    Please type

22. Date
    Date
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24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

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