USA NORTH - REQUEST FOR ELECTRONIC INVOICING

 

Company Name:  
   
 
USA North Account Number:
   
(If you do not know your account number, please contact USA North)    
     
Your Name:    
   
     
Your Phone Number:    
   
     
Your Email:    
   
     
  • If USA North is unable, for any reason, to send an invoice via email, your invoice will be sent out by regular mail to your USA North representative
  • Invoices will go out between the 20th and the end of each month.
    
     
If you have any questions regarding this application, please contact Tonie Ibarra at (925) 798-9504 ext. 2231 or email me at tibarra@usan.org    


Note: If you are interested in paying your invoice electronically, please fax your EFT authorization form to (925) 798-9506

 
Call before you dig
811 / 1-800-227-2600
www.usanorth.org