GET Payment Form

ACH or Credit Card*
The following is information that will enable the CBORD Group to collect transaction fees on a monthly basis via ACH or a credit card per the GET Program Description under the Payments section ( https://busdocs.cbord.com/ ).

GET ACH Information
Customer should add CBORD as an approved vendor to their bank's debit blocker.
- Company Name: CBORD
- GET ID: 1201231681
Bank Name*
Bank Branch*
Bank Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Routing Number/ABA Number*
Bank Account Number*
Voided Check*

Cancelof
GET Credit Card Information
Credit Card Contact*

First NameLast Name
Credit Card Contact Phone Number*

Country CodeArea CodePhone Number
Credit Card Contact Email*

By signing below, undersigned hereby authorizes The CBORD Group, Inc. (or its agent) to initiate electronic credit entries, necessary debit entries, adjustments, or to correct any deposit errors to the account at the financial institution indicated above for the purposes of GET Services. This authority is to remain in full force and effect for the duration of the Service, or until The CBORD Group, Inc. has received written notification of its termination in such time and in such manner as to afford The CBORD Group, Inc. and the financial institution named above the opportunity to act upon it. Any revised authorization will replace the previous authorization. Advance written notification of changes to this account will be provided to CBORD. If CBORD is unable to process any ACH account activity for a maximum of three (3) business days, CBORD shall terminate the use of the GET Services.
Authorized Contact Name*

First NameLast Name
Authorized Contact Email*
A confirmation email will be sent to this address
Authorized Contact Signature*

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Customer Information