AUTHORIZATION FORM
after printing the form and filling IN THE NECESSARY INFORMATION, FAX IT TO OUR CORPORATE OFFICE at
(561) 477-3100
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AUBA I About Us I Services I Agreement I Get Started I Contact Us


American Utility Bill Auditors, Inc.
7040 W. Palmetto Park Rd., Suite 2412
Boca Raton, Fl 33433-3483
Office 561-852-1872 Ext. 301 / Fax 561-477-3100
E-Mail: auba@auba.net

AUTHORIZATION FORM

TO :___________________________________________
PLEASE LEAVE BLANK
(NAME OF UTILITY COMPANY) 




ATTACH
BUSINESS
CARD
HERE

AMERICAN UTILITY BILL AUDITORS is hereby engaged and authorized to obtain from you all account information to file refund applications, to inquire regarding status, and to receive any information relating to adequately auditing our account, and to process refunds to which the undersigned may be legally entitled.

AMERICAN UTILITY BILL AUDITORS: 

_____________________
Authorized Agent


CLIENT: PLEASE COMPLETE BELOW INFORMATION:

Organization: ____________________________________

Address: ____________________________________

Authorized Representative of Organization:

Signature of Officer: ____________________________________

____________________________________
Signature

_____________________________________
Title & Date

****** PROFESSIONAL AUDITING SERVICES ****

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