SLIPLINK AUTHORIZATION TO DO AUTOMATIC CHECK DRAFTING

Sliplink Network  will accept Checks, Money Orders, and  Discover, Visa and  MasterCard (Maestro) credit card payments.
NOTE! all bills are due on the 1^st day of the month late after 5^th and deactivated after the 10^th.
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 1^st 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