Common use of Address Information Clause in Contracts

Address Information. For individual subscribers this address should be Subscriber’s primary legal residence. For entities other than individual subscribers, please provide address information for the entities primary place of business. Information regarding a joint subscriber should be included in the column at right. _________________________________ Legal Address _________________________________ Legal Address _________________________________ City, State, and Zip Code _________________________________ City, State, and Zip Code _________________________________ Tax ID # or Social Security # _________________________________ Tax ID # or Social Security # Alternate Address Information (if applicable) _________________________________ Alternate Address for Correspondence _________________________________ Alternate Address for Correspondence _________________________________ City, State and Zip Code _________________________________ City, State and Zip Code _________________________________ Telephone _________________________________ Telephone _________________________________ Facsimile _________________________________ Facsimile _________________________________ Tax ID # or Social Security # _________________________________ Tax ID # or Social Security #

Appears in 2 contracts

Sources: Subscription Agreement (ENDRA Life Sciences Inc.), Subscription Agreement (Endra Inc.)