Electronic Payment Authorization

Use this form to provide GBU with the relevant information for refunding your deposit.

Fill out Electronic Payment Authorization Form (For Refund of GBU Deposit). If the Outstanding Balance on the account is more than the deposit held on the account, the outstanding balance must be satisfied by payment or signing a payment arrangement.

  • Vendor Information

  • **The Remittance email detailing the invoice number, invoice amount paid, date of the payment and the total dollar value of the payment will be sent to the remittance email address specified above.
  • Banking Information

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