Online Payment Form V2

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Online Payment

ECTISP.net

Ellis County Texas Internet Service Provider

A Full Service ISP

P.O. Box 2674
Waxahachie, TX 75168

972.923.9090

Technical Support:

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Accounting:

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Monday - Friday:
8:00am - 5:00pm

Saturday: (Closed)
Sunday: (Closed)

(Closed Holidays)

To make an online payment, please Fill out this form and enter the amount for payment using YOUR checking/savings or credit/debit card information and click the submit button.

Notice: As of May 1st, 2020 we will be adding a $3.00 processing fee on top of all credit/debit cards and e-checks due to our electronic processing company heavily increasing their rates. We encourage our clients to seek out other alternative means to pay invoices.

Most banks offer a online bill payment service that can be setup to take care of this process for you and all without costing a dime.

If you have any questions pertaining to this please call our office.

By the continued usage of this form you waive your rights and here by agree to the aforementioned $3.00 dollar increase on payments sent in for processing thru this form.

Invoice #:

First Name:* Last Name:*

Contact Number:*

Service Address:*

Service Address cont. :

City:* State:* Zip Code:*

Payment Type*

Name on Credit/Debt Card:* Billing Zip Code:*

Credit Card Number:* Card Type:*

Exp Date:* CVV2:*

Where are my routing and account numbers?

The routing and account numbers are located at the bottom of your checking or savings account deposit slip.

Name on Banking Account:*

Account Number:* Routing Number:*

Select One:* This is my account
I have authorization to use this account

Payments not received before the 1st will be assessed a $5.00 late fee.

There is a $2.00 declination fee for all failed card transactions.

I Authorize ECTISP, Inc to charge a fee for online payment processing.* I Authorize ECTISP, Inc to charge this account in the amount listed on invoice plus any other additional fees..* I Authorize the late fee to be charge if applicable.* I Authorize ECTISP, Inc to charge a service reactivation fee if account has been placed on hold.*

Amount to be charged:*