The below authorization to proceed and payment section MUST be complet technician. Verbal authorization is NOT ACCEPTABLE. ) 310.2 tch a service *** Quote is provided for a NOT TO EXCEED value fur diagnostic services only. Customer will ONLY be invoiced at a Time and Materials for actual amounts incurred. DIAGNOSTIC ESTIMATE TOTALS (plus applicable taxes) Work to be performed Monday • Friday between 7:30 AM - 4:00 PM, excluding holidays. We will not exceed this variance without notifying you and securing your consent if actual costs prove lower than the amount quoted the customer will to Invoiced at the actual cost. Accepted by: This Quotation is valid for 30 calendar days from the date below. CUMMINS METROPOWER, INC, Company Signature/Title By: P.O. No. (Copy of PO MUST be attached) Date: TO CONFIRM PAYMENT AUTHORIZATION PLEASE SEND COPIES OF BOTH THE FRONT AND BACK OF YOUR CREDIT CARD ALONG WITH A COPY OF YOUR DRIVER'S LICENSE (PLEASE PRINT OR TYPE) NAME: PHONE: Ext MIXING ADDRESS: CITY ZIP: CREDIT CARD: Wirth One) VISA MasterCard Ames NAME (AS IT APPEARS ON CREDIT ( ARO): CAROM: ESN LVIION DATE: I authorize Cummins Metropower, Inc. to charge the amount of S to my credit card for the purpose of purchasing pares, repair service, engine and generators and fire pumps. I understand that my signature on this contract will serve as my authorized signature on the credit card slip. My driver's license State Expiration Date: Signature Date: EFTA00606392