Client Billing Form Billing and contact info for all service segments. "*" indicates required fields Step 1 of 2 50% Which EcoSet service segment are you engaging?* Zero Waste services (commercials, events) Canned water purchase ReDirect (materials diversion) Scenic rentals (flats, jacks, sandbags) Space rental (temporary maker space) EcoSet On-Demand (transportation & logistics) Purchase Order # for EcoSet services*Required for Net 30 payment terms. Indicate if N/A. Job name / Job #* Client contact name* First Last Client contact email* Client contact phone* BILLING INFOBilling company name* Billing address* Street Address Address Line 2 City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Billing contact name* First Last Billing contact email* Billing contact phone*PAYMENT INFOWater sales, scenic rentals and space rentals are due upon service unless other billing terms have been approved.Preferred payment method ACH Check Wire Transfer Credit Card (3% fee applies) Other Billing notes for EcoSet?