Laserfiche WebLink
<br />WaterlSAC Subscription Agreement for Individual Systems Page 4 <br /> <br />NOTE: Contact the WaterlSAC's subscription office immediately when user contact information changes. <br />Other Users (Refer to the User Schedule on page 2 to determine how many users each subscribing utility is allowed.) <br /> <br />Name of User <br /> <br />Title <br /> <br />Address, if different from utility address <br /> <br />Direct Phone Number <br /> <br />Mobile Phone Number <br /> <br />Pager Number <br /> <br />E-Mail Address <br /> <br />Home/All. Phone Number <br /> <br />Signature of User <br /> <br />Date <br /> <br />Name of User <br /> <br />Tale <br /> <br />Address, if dilferent from utility address <br /> <br />Direct Phone Number <br /> <br />Mobile Phone Number <br /> <br />Pager Number <br /> <br />E-Mail Address <br /> <br />Home/All. Phone Number <br /> <br />Signature of User <br /> <br />Date <br /> <br />Name of User <br /> <br />Title <br /> <br />Address, if different from utility address <br /> <br />Direct Phone Number <br /> <br />Mobile Phone Number <br /> <br />Pager Number <br /> <br />E-Mail Address <br /> <br />Home/Alt. Phone Number <br /> <br />Signature of User <br /> <br />Date <br /> <br />Indicate Type <br />of Port for <br />Card Reader <br /> <br />USB 0 <br />PCMCIA 0 <br /> <br />Questions? Call <br />B66-h20-ISAC. <br /> <br />Indicate Type <br />of Port for <br />Card Reader <br /> <br />USB 0 <br />PCMCIA 0 <br /> <br />Questions? Call <br />B66-h2o-ISAC. <br /> <br />Indicate Type <br />of Port for <br />Card Reader <br /> <br />USB 0 <br />PCMCIA 0 <br /> <br />Questions? Call <br />B66-h2o-ISAC. <br /> <br />July 2004 <br />