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L&A Payment Preference Form
*Complete and accurate responses are required for timely payment.
*Please contact admin@Lasorsa.com with any questions or concerns.
*If international, please use this form: https://forms.gle/ZFgoQhYYUaxUHsvZ9
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* Indicates required question
Email
*
Your email
Last Name
*
Your answer
First Name
*
Your answer
Company Name (if applicable)
Your answer
Phone (Mobile)
*
Format: '123-123-1234'
Your answer
EIN (or SSN if an individual) for tax purposes
*
Your answer
A W9 must be completed and/or sent to L&A (admin@lasorsa.com)
*
W9 form:
https://lasorsa.na1.documents.adobe.com/public/esignWidget?wid=CBFCIBAA3AAABLblqZhAnmU57QDJcBivozJ8pZxLM-J-qxLnf7FlPs6BEzBthSDZr3idKlxM_KHGaO_WD95M*
Yes - I understand
Payment Preference: Direct Deposit or Check in the mail?
*
Direct Deposit
Check in the Mail
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