Arbuckle Online offers AutoPay… 

Pay your internet bill quickly, conveniently and automatically through your checking or savings account with Auto Pay.  Auto Pay saves you time and you never have to worry about late fees- your bill will always be paid on time.   

So, save yourself the rising cost of postage and sign up today… just print this form and mail it in or bring it by with this month’s payment and a voided check.  There is no additional charge for this service.

Also, we still offer auto pay by your credit card.  If you have any questions, please call our office at 226-1234 or 1-800-259-5959.

I authorize Arbuckle Online to charge my checking account for the amount of my internet fee.  I understand that I have the right to cancel automatic payment by providing timely written notice to Arbuckle Online prior to the time my account is charged on the first business day of each month.  

_______________________________                (____) ________________

Print your name as shown on your checking account          Phone number  

_______________________        ___________   ___    ________

Home Address                                    City                         State     Zip

_______________________                        $______________   

Arbuckle Online Account Number                               Amount to be charged monthly

Financial Institution Name:_____________________________

_______________________        __________________________

Account Number                                ABA Routing Number

_________________________      ______________________

Authorized Signature                                Date