Print Name Date: ..........................................................................
Developer Name and Address NCR Voyix Corporation is the developer of the Software. Please direct any end-user questions, complaints or claims with respect to the Software to the Customer Care Team by mail at ▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇, ▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇ ▇▇▇▇▇; by telephone at ▇-▇▇▇-▇▇▇-▇▇▇▇; or by email to ▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇.
Name of Company The name of the Company shall be as set forth in the Certificate.
Name of ▇▇▇▇▇(s) The named person's role in the firm, and
Legal Name Enter the legal name of the U.S. nonprofit organization or government entity applying for indemnity as it appears in the current IRS 501(c)(3) status letter or in the official document that identifies the organization as a unit of state or local government, or as a federally recognized tribal community or tribe. If an exhibition is being shown at several venues, one organization should apply on behalf of all participants. The Federal Council on the Arts and the Humanities requires that the applicant must have previously organized at least one museum-caliber exhibition containing objects borrowed from one or more public and/or private collections.