Save $.50 On Your Bill!
We are now offering Electronic Check Payment for your
convenience. If you would like to take advantage of this
new bill payment method, please print and fill out the form
below then mail or fax it back to us. You may switch
payment methods at anytime. You also may choose to do a
one-time debit to your account or have your account debited
automatically. Please feel free to contact us at
800-869-0922 if you have any questions concerning this new
method of payment. Please include a voided check with
this form.
| Our mailing address is: |
Our fax number is: |
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NetOne
Communications, Inc.
2186 US HWY 10
Sears, MI 49679 |
1-231-734-6395
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Click here for a
printer friendly format of form
AUTHORIZATION AGREEMENT FOR
DIRECT PAYMENTS (ACH DEBITS)
Name_____________________________
Username_________________________
I (we) hereby authorize______________________________________,
hereinafter called NetOne Communications, Inc., to initiate
debit entries to my (our) Checking Account / Savings
Account (circle one) indicated below at the depository
financial institution named below, and to debit the same to
such account. I (we) acknowledge that the origination of
ACH transactions to my (our) account must comply with the
provisions of U.S. law.
Depository Name___________________
Branch____________________________
City________________________ State_____________
Zip______________
Routing Number____________________
Account Number____________________
This authorization is to remain in full force and effect until
NetOne Communications, Inc. has received written notification
from me (or either of us) of its termination in such time and
in such manner as to afford NetOne Communications, Inc. and
Depository a reasonable opportunity to act on it.
Name(s)___________________________
Username__________________________
(Please Print)
Date_______________________________
Signature__________________________
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