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FILL OUT FORMS & MAIL TO: PO Box 3639, Eatonton, GA 31024
NEW SERVICES SECTION
For new services, fill out, attach ID and return with $150 deposit.
PAYMENT METHODS
Fill out & return with voided check. Drafted on 12th of the month. Card will be automatically be run on the 12th of every month.
FOR ONE TIME CREDIT CARD/DEBIT CARD TRANSACTIONS, DO NOT COMPLETE THE AUTHORIZATION FORM!!! YOU MUST CALL OUR OFFICE AT 706/485-5252. THANK YOU!
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