Client Form Please take a moment to indicate your preferences on the following matters, so that we can serve you better. First Name* Last Name* Your Company* Billing Contact Name* Billing Contact Number* Billing Contact Email* Billing Contact Address* Billing Contact Fax Number* How would you like to be invoiced?* EmailMailFax Is this a permanent preference? Or a one-time preference?* PermanentOne-Time If one time, please provide the purchase order for this invoice. How would you like to pay?* Through the MailEFT / Wire Transfer from my Bank Account (Gen-X staff will call to set this up) Is this a permanent preference? Or a one-time preference?* PermanentOne-Time
