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Benefit Express Services, LLC <br />Technology and Services Agreement <br />Exhibit A - Notices and Contact Information <br />1.0 Notices from Employer shall be sent to: <br />Benefit Express Services, LIC <br />Attn: Kelly McMillen <br />1700 East Golf Road, Suite 1000 <br />Schaumburg, IL 60173 <br />2.0: Notices from Benefit Express Services, LLC be sent to: <br />(Please provide Employer Contact Information) <br />Company Name <br />i <br />I <br />9 <br />=I)Aj ayt CO i,r1} _ <br />Company Street Address <br />J_10 0 �5+y-C¢* . <br />Company Street City <br />VL✓p Lite. <br />Company Street StatE <br />Company Street Postal Code <br />40 <br />Primary Contact Name <br />.. I <br />i <br />S:a 'OL , U <br />Primary Contact Phone Number �7� �22b�C Z <br />Primary Contact Fax Number :: <br />! 7 -�' -770:7 4ra0 <br />Primary Contact Email Address <br />LL <br />T >D.i <br />Company Billing Address <br />%r M'>f'yf� - aL* eVT- <br />Company Billing City <br />Company Billing State <br />Company Billing Postal Code <br />Billing Contact Name <br />,-► n A <br />Billing Contact Phone Number <br />-7-7.A' ZU.—) <br />Billing Contact Fax Number _- <br />t- <br />-2-7 A= —R-4- (i .::.�Q l% <br />, <br />Billing Contact Email Address. <br />���•C_ <br />