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Credit Card Payment Authorization Form

For one time payment / down payment: Minimum Service Call Charge is $540.00

For one time payment*

To be kept on file for future purchases/charges

To be kept on file for future*
Credit Card*
MM slash DD slash YYYY

Please note there will be a 3% convenience fee added to the total for using a credit card for payment.

Please fax the completed information to (954) 968-6110, or you can send this as an email attachment to accountsreceivable@gensetservices.com

Genset Services, Inc.

ACH Bank Account

Branch Banking & Trust Co.

Account Number 0000246936579

Routing Number 263191387

Swift Code – BRBTUS33

Branch Address

110 E Broward Blvd.,

21st Floor Ft. Lauderdale,

FL 33301 Tel (954) 233-0554

Contact: Nicolas Jaramillo

Tel 954-233-0554

Email: njaramillo@bbandt.com

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