New Contractor Form Hello! This form is for contractors we are asking to engage in a working relationship with Walmedia, LLC dba Lift UX and/or UpThemes. The sooner you submit this form, the sooner we can make sweet music together. Tax InformationWe need to be able to tell the IRS who we worked with and how much we paid them. We also need you to tell the IRS similar things.What type of entity will be working with us?*Freelancer/IndividualLLC / Corporation / PartnershipWhat is your legal company name (as filed with the IRS)?We want to pay you. And I'm guessing you'd like to get paid. So we need your legal company name to be able to do that.What is your social security number?*We need this for tax purposes. We promise not to steal your identity.What is your legal name?* Prefix First Last Suffix What is your Employer Identification Number (EIN)?*We need this for filing tax forms and whatnot.What is your name?* First Last We need an officer's name from your company. It would be good if you are an officer of the company, then we'd have much less explaining to do later.What is your official title?*What is your business address?* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country This will go on contracts and any paperwork we need to send you, so please use an address where you actually receive mail in a timely manner.Primary Contact InformationWe need a point of contact. Usually this is the person filling out this form. Sometimes it's not. Use your best judgment.What is the primary contact's name?* First Last What is the primary contact's email address?* Enter Email Confirm Email What is the primary contact's phone number?*Sometimes, we actually do use telephones to talk to people, so it would be nice to have this. We prefer a mobile phone number, if possible. Dialing extensions and talking to administrative assistants can be a time-suck. This iframe contains the logic required to handle AJAX powered Gravity Forms.
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