Secure Bill Payment Form
for payments made using a check

This form is for payments made using a checking account. If you're looking for our credit card payment form, please click here.

There is no service fee to pay by check online or by phone. If you have any questions about how to fill out this form, please call our Billing Department during normal office hours at 1-888-509-8644 or 509-522-3696. You may also email Billing at billing@advantagecom.net .

Please note that online and phone check payments must be drawn on U.S. banks.

Please provide the following contact information:
All fields are required unless noted otherwise

First and last name

Customer ID#  (as shown on your last bill, not your account username)

Day phone number

Email address

Dollar Amount you wish to pay (in U.S. Funds). Please include the decimal point.


Please provide the following checking account information:

Please be sure to provide us accurate payment information. There is a $3.00 service fee for any e-check returned because of invalid account or routing numbers or because the checking account has been closed.

Checking account holder's name

Checking account holder's day time phone number

Address of checking account holder
(list the street address, city, state and zip)

Check number being used for this payment

Routing number
(9 digit # along bottom of the check)

Checking account number
(usually all other consecutive #s after the routing #. Please include any spaces)

Fed number
(usually found under the check #, looks like 19-2/1245)

Bank Name and Address
(as shown on the check)

Are you submitting this checking information to update the information used for automatic debit?

Yes
No

Automatic Checking Account Debits?
(Do you want your checking account to be automatically debited at the start of your next billing period for the next billing period's hosting fees?)


Additional instructions?
  optional
Need to update your phone number, email address or mailing address? Renewing your account? Let us know here.


By clicking submit below, you agree to our terms and conditions and authorize us to charge the above checking account the amount stated above. If you answered "yes" to "Automatic Checking Account Debit," every hosting period thereafter (monthly, quarterly, semi-annually, or annually), the above checking account will be debited the appropriate fee unless you make other arrangements or request your web hosting account to be cancelled at least 5 days prior to the anniversary date of your hosting period. You may cancel your account at any time by filling out our online cancellation form or faxing it to 509-525-5781. Cancellations requested in any other way will not be processed. Cancellations are processed the same day they are received, unless it is noted on the cancellation request to cancel at a later date, i.e. the end of the paid term.

To help prevent fraud, your IP Address and Hostname are logged when you submit this payment.

Did you double check your answers above?

Thank you for your business!


Copyright 1998-2003,  Advantagecom Networks, Inc. All rights reserved.