| 1. |
Print out the Auto Pay authorization form by clicking on the "PRINT AUTO PAY FORM" button below.
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| 2. |
Complete and sign the form.
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| 3. |
Attach a voided check (not a deposit slip) of the bank checking account or deposit slip of the bank savings account to be accessed for automatic payment of your Internet bill.
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| 4. |
Mail the signed form and attachment to:
Alphacomm.net
P.O. Box 86
Carney, MI 49812-0086
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| 5. |
We will send you a written confirmation advising the date of your first scheduled
auto pay deduction.

IF UNABLE TO PRINT FORM, CALL
Customer Service at 877-450-3500
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