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Modern Digital Imaging, Inc

Ordering Instructions (EXHIBIT D)

Modern Digital Imaging Quick Copy Services

VENDOR/COMPANY NAME:

Modern Digital Imaging

       

SPURS VENDOR NUMBER(FEIN/FEID):

 
       

eQuote/Agreement Administration

 
       

Please identify the person who shall be responsible for administering the Agreement on your behalf if award is made, and include an emergency contact phone number:

       

Name:

Thomas B. Perrin

Title:

Vice President/Secretary

Street Address, City, State, Zip:

519 North Monroe Street, Tallahassee, FL 32301

Email Address:

qualityprints@gomdi.net

Phone Number(s):

850-222-7514

Fax Number:

850-222-2050

       

If the person responsible for answering questions about the eQuote is different from the person identified above, please provide the same information for that person.

       

Direct Orders

 

Please provide the following information about where the Customers should direct orders. You must provide a regular mailing address. If equipped to receive purchase orders electronically, you may also provide an Internet address.

       

Street Address or P.O. Box:

519 North Monroe Street

City, State, Zip:

Tallahassee, FL 32301

Phone Number:

850-222-7514

Toll Free Number:

 

Ordering Fax Number:

850-222-2050

Internet Address:

http://moderndigital.cc

Federal ID Number:

 

Remit Address:

519 North Monroe Street

City, State, Zip:

Tallahassee, FL 32301

Email Address:

qualityprints@gomdi.net

       

Yes No

 

WILL ACCEPT THE STATE OF FLORIDA PURCHASING CARD (VISA)

Circle one

     

Attach additional addresses for all locations in Florida authorized to perform services under this Agreement. All locations must be registered in MyFloridaMarketPlace.

VENDOR COMPANY NAME:

Modern Digital Imaging

   

AUTHORIZED DEALERS/DISTRIBUTORS AND/OR SERVICE REPRESENTATIVES LOCATIONS:

(EXHIBIT E)

Quick Copy Services

   
   

LIST BELOW CONTACT INFORMATION FOR ONE OR MORE FLORIDA REPRESENTATIVES, INCLUDING MAILING AND EMAIL ADDRESSES, AND TELEPHONE NUMBERS.

   

COMPANY NAME & FEID/FEIN

US POSTAL & EMAIL ADDRESSES, & TELEPHONE #

   

Modern Digital Imaging, Inc.

519 North Monroe Street

 

Tallahassee, FL 32301

 

qualityprints@gomdi.net

 

850-222-7514 phone

 

850-222-2052 fax

   

EMERGENCY SITUATIONS (EXHIBIT F)

Modern Digital Imaging Quick Copy Services

 
   
   

Emergency situations, resulting from events such as natural disasters, may require immediate supply of commodities and services to various government entities.

   

If your firm is capable and willing to supply item(s) offered in this solicitation during an emergency, please complete the following:

   

The above information will be used by this office should the State of Florida determine an emergency situation exists.