1-866-670-5366






Authorization to Proceed

I acknowledge receiving a C2G Environmental Consultants time and materials rate schedule and authorize C2G to provide response services. I understand and accept the pricing and terms of the rate schedule. Invoices will be presented on a timely basis in accordance with the proposal and/or time and materials rate schedule provided. The Company or Individual agrees to pay all balances due upon receipt.

This agreement is between the Company or Individual signing below and C2G Environmental Consultants. If the Company or Individual seeks compensation from their insurance company or other Indemnity organization C2G does not release the Company or Individual from their obligations under this agreement. Any deposit received by the individual signing this form will be held until full payment is received by the insurance company.

I understand that a finance charge of 1 ½% per month will be charged on all past due accounts. I will be responsible for all collection costs on past due accounts, including attorney’s fees.

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By 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.


C2G Environmental Contact Information

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

LONG ISLAND LOCATION (Corporate Headquarters)
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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