Redbird can now accept credit card payments (Visa, Mastercard, or Discover). If you would like your Redbird bill automatically charged to your card every month rather than receiving statements in the mail please fill out and return this form to authorize Redbird to automatically charge your credit card each billing period.

I give permission to Redbird Internet Services to charge my credit card on a monthly basis for internet service. I agree to pay according to card issuer agreement. I may cancel this agreement at any time by sending a written cancellation request to PO Box 437 Mt. Gilead, OH 43338.

Credit Card Number ____________________________

Expiration date ______________     3 digit CCV2 securty code on back of card ___________

Name on Card _____________________________ Redbird Acct #_________________

Billing Address for Card ________________________________________________________