Cumberland Internet Accounting Form

Real Name

E-Mail Address

All changes require the field ‘real name’ and ‘e-mail address’ to be completed.

No changes will be made until you confirm via e-mail the changes you request here.

Be sure to hit the ‘send’ button at the bottom of this page to process the form.

To change your time package or to stop service, choose one of the following:

Effective

To change your billing method, choose one of the following and fill out the fields below:

Credit Card Only: Credit Card Number

Credit Card Only: Expiration Date:

Direct Debit Only: Bank Name & Town

Direct Debit Only: Bank Acct Number

For Invoices Only:

Complete Billing Address for invoices (include Zip Code)

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