Invoice Number (If you have an invoice number, enter it here):
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Description of Goods or Services (provide dates, event/program/service/item descriptions, costs/rate of pay, and other relevant info if applicable): *
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Total Invoice Amount: *
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Preferred Payment Type: *
Send Payment To (Please provide the email or phone number linked to the Zelle or PayPal account, or the address you would like us to send your check to):
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Have you previously sent in IRS form W-9?: *
Required
Who was your contact or supervisor from within ReEvolution?: *