Invoicing Preference

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* 1. How do you currently receive your invoices?

Email

U.S. Postal Service

Fax

Other (please specify)

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* 2. If you are receiving invoices via email, please provide your company name and a current email
address so we can update our records.

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* 3. If you would like to partner with Customized Brokers' green initiative
and begin receiving invoices via email, please provide a current email address and company name.

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* 4. If you wish to continue receiving invoices via U.S. Postal Service or Fax,
please provide your company name and an updated mailing address or fax number so we can update our records.

Thank you for your continued support of Customized Brokers.