Automated Debit Card Payments
This ‘Authorization Agreement for Automated Payments’ form is for those who would like to have their phone bills automatically deducted from their checking or savings account without entering any of their personal information online.
After you have completed and signed the Authorization form would you please:
- Drop it off at our office in person.
- Deposit it in our after-hours Drop Box.
- Fax it to 319-935-3010
- Email it to firstname.lastname@example.org
Please contact our office at 319-935-3011 if you have any questions.