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Charge Code Request Form

  1. Is this Charge Code a variation on an existing one?*

  2. Is there a set price?

  3. Will general billing invoices be created for this charge?*

  4. Will a new customer need to be set up?*

  5. If yes please complete the New Customer Request Form.

  6. Is the charge code for a security deposit?*

  7. Will late payments be charged interest?*

  8. Is this charge code subject to sales tax?*

  9. Is this charge code subject to other fees?*

  10. Is this charge code subject to discounts?*

  11. Leave This Blank:

  12. This field is not part of the form submission.