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One Time Payment Authorization - C2G

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Authorization/ Acknowledgement


By signing and submitting this form, I do hereby authorize C2G Environmental Consultants, LLC to charge the above card immediately in the amount indicated. C2G Environmental Consultants, LLC assume no responsibility for changes made to a proposal if the payment fails to process. I am also acknowledging that I am the cardholder held under penalty of law.

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C2G Environmental Contact Information

TOLL FREE NUMBER:   1-866-670-5366 | E-MAIL:   info@c2g.us

LONG ISLAND LOCATION
165 SHERWOOD AVENUE
FARMINGDALE, NY 11735
Phone: 631-414-7757
Fax: 631-843-6331

HUDSON VALLEY LOCATION
83 SOUTH PUTT CORNERS ROAD
NEW PALTZ, NY 12561
Phone: 845-255-4900
Fax: 845-255-4909

WESTCHESTER LOCATION
7 Skyline Drive, Suite 350
Hawthorne, NY 10532
Phone: 914-357-8275
Fax: 845-255-4909

CONNECTICUT LOCATION
25 Mallane Lane
Naugatuck, CT 06770
Phone: 203-437-6717
Fax: 845-255-4909

NEW JERSEY LOCATION
1 International Blvd Suite 400
Mahwah, NJ 07495
Phone: 201-574-0555
Fax: 845-255-4909

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