Per the requirements and guidelines for our mutual customer, we require the following information prior to remitting payment for services and/or products rendered. To avoid a delay in payment of your invoices, please fill out the following information and return along with the needed items below as soon as possible. Company Name (required) Mailing Address (required) City, State Zip (required) Phone Number (required) Fax Number (required) Your Email (required) Primary Contact Name (required) Attach Signed W-9 (required) Click here to download a W-9 Federal Taxpayer Identification Form Attach Occupational License or Professional Licenses pertaining to your specific industry. (required) Please have your Insurance Provider forward current/updated Insurance Certificate noting General Liability and Workers Compensation to: Anchor Associates, Inc. 2340 Stanford Court Naples, FL 34112 (239) 649-6357, Office (239) 649-7495, Fax email@example.com Anchor Associates, Inc. needs the Additional Insured Endorsement. Thank you for your cooperation!