Credit Card Billing Authorization Form
you would like to enjoy the convenience of automatic billing, simply
complete the Credit Card Information section below, print, sign
the form, and return to us via mail. All listed information is required.
Upon approval we will automatically bill your credit card for the indicated amount, and applicable charges will appear on your credit card statement. You may cancel automatic billing at any time by providing written notification to us.
I authorize HighSpeedLink.Net to automatically bill the credit card listed below as specified: