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Sliplink Network
will accept Checks, Money Orders, and
Discover, Visa and MasterCard (Maestro) credit card
payments.
NOTE! all bills are due on the 1st day of
the month late after 5th and deactivated after the 10th.
Please print and completely fill out the following form to ensure
timely processing. Check, Credit card and address information is
confidential; the completed form should be faxed or mailed to
Sliplink Network at:
FAX TO: 1-916-488-3311
Mail To (
Allow 10 working days for mail )
Sliplink Network USA
A BERBER CORP / ULTRA TECHNOLOGY LIMITED. INC. COMPANY
P.O. Box 351
Sacramento, CA 95812-0351
USA
Your Name:
__________________________________________________________
Company
(if any)
_____________________________________________________
Your Address
________________________________________________________
Phone Number:
_______________________________________________________

Name On check:__________________________________________
Bank Name:
___________________________________________
Bank Routing Number
____________________________________
Your Account #
__________________________________________
I
authorize Sliplink Network, USA, to use automatic check drafting as
the method of payment for my services through their company.
I realize that no signature is needed on these checks and
that if I dispute a charge through my bank that this will constitute
a breach of contract and result in immediate deactivation of my
account. . I understand cancellation of this authorization should be
done via certified mail for my protection and verification of
cancellation. I understand that cancellation must be received by
Sliplink before the 1st of the month I wish to cancel. I
understand there is NO partial month billing any part of the
month is billed in full
Sliplink
Network USA Customer. (initial one)
____
- please use Check Drafting for my monthly invoice.
____
- please use Check Drafting only on request.
____
- please use Check Drafting on a one-time basis: Amount =
$________
I have
included a blank voided check along with the signed copy of this
automatic check authorization form
Please Note:
charge
backs and declined transactions may be subject to an additional
handling fee.
Signature
___________________________________________________ Date
____________
PRINT NAME HERE
__________________________________________________________
Questions
regarding check payments can be sent to
billing@sliplink.net
or call 916-448-8099
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INCLUDE VOIDED CHECK OR CLEAR PHOTO COPY OF CHECK HERE
( REQUIRED )
Adobe
PDF Check Authorization form
Print
Check Form in Text Format
Check Authorization
in HTML
Contact us:
To place an order now call: 1-877-839-6826
For Pre-sales questions call: 1-916-448-8099 or
1-866-543-4121
For Technical Support call: 1-916-488-3300
sales@sliplink.net

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