Administrative Contact Administrative Contact Name: <Name> Name: <Name> <Title> <Title> Address: <Department> Address: <Department> <Address> <Address> <City,State,Zip> <City,State,Zip> Telephone: <Telephone#> Telephone: <Telephone#> Fax: <Fax#, if available> Fax: <Fax#, if available> Email: <EmailAddress> Email: <EmailAddress> Financial Contact/Accounting Authorized Financial Contact/Invoicing Name: <Name> Name: <Name> <Title> <Title> Address: <Department> Address: <Department> <Address> <Address> <City,State,Zip> <City,State,Zip> Telephone: <Telephone#> Telephone: <Telephone#> Fax: <Fax#, if available> Fax: <Fax#, if available> Email: <EmailAddress> Email: <EmailAddress> Designees for invoice certification in accordance with Section 14 of Exhibit C on behalf of the Financial Contact: <Name>, <Title>, <EmailAddress> <Name>, <Title>, <EmailAddress> <Name>, <Title>, <EmailAddress>
Administrative Contact Name: <Name> <Title> Address: <Department> <Address> <City,State,Zip> Telephone: <Telephone#> Fax: <Fax#, if available> Email: <EmailAddress> Administrative Contact Name: <Name> <Title> Address: <Department> <Address> <City,State,Zip> Telephone: <Telephone#> Fax: <Fax#, if available> Email: <EmailAddress> Financial Contact/Accounting Name: <Name> <Title> Address: <Department> <Address> <City,State,Zip> Telephone: <Telephone#> Fax: <Fax#, if available> Email: <EmailAddress> Authorized Financial Contact/Invoicing Name: <Name> <Title> Address: <Department> <Address> <City,State,Zip> Telephone: <Telephone#> Fax: <Fax#, if available> Email: <EmailAddress> Designees for invoice certification in accordance with Section 14 of Exhibit C on behalf of the Financial Contact: <Name>, <Title>, <EmailAddress> <Name>, <Title>, <EmailAddress> <Name>, <Title>, <EmailAddress>
Exhibit-A3-Authorized-representatives-.docx