Orange County NC Website
Rev. 12/2/2021 <br />Agreement Acceptance <br />Prices are valid for 30 days and based on the equipment and service information listed above. Sales and use taxes not included. <br />National Power Terms and Conditions of Service apply to any order based on this offer and are incorporated by reference herein. A <br />copy of these terms is available at https://natpow.com/policies or may be obtained from your National Power sales representative. We <br />accept payment by check, VISA, MasterCard, and American Express. <br /> <br />Signature: ____________________________ <br />Name: ____________________________ <br />Date: ____________________________ <br />Phone: ____________________________ <br />Email: ____________________________ <br />PO# ____________________________ <br /> <br />Please remit payment to: <br />National Power, LLC <br />PO Box 219168 <br />Kansas City, MO 64121-9168 <br /> <br />Pre-authorize National Power to make repairs up to the below amount, <br />please initial by your choice. <br />____________ Decline <br />____________ Up to $500 <br /> <br />____________ Up to $1,000 <br /> <br />____________ $1,000 and above <br /> <br />____________ Refueling up to 100 gallons during PM <br /> <br />DocuSign Envelope ID: 171033F6-DA8B-4282-B297-40B1910E5ABC