DipJar Rental

Organization Name

The legal name of the organization using the DipJar

Organization Address

The address of the organization using the DipJar

Organization City

The city of the organization using the DipJar

Organization State

The state of the organization using the DipJar

Organization Zip

The zip code of the organization using the DipJar

Name Of Authorized Signer

Name of person authorized to sign agreement(s) on behalf of the Organization.

Email Of Authorized Signer

Email of Authorized Signer

DBA Name

Enter if the organization does business under another name

EIN Number

Employer Identification Number