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CENTURYLINK AUTOMATIC PAYMENT …

Enrolling in the AUTOMATIC Monthly PAYMENT Plan makes paying bills safe, easy and convenient. CENTURYLINK offers a PAYMENT plan that will automatically deduct your monthly payments from your checking or savings account approximately 18 days after your bill date. You may enroll in CENTURYLINK Autopay online at or sign and return this authorization form by fax or mail with a voided check or deposit slip. Include a voided check if you wish funds withdrawn from your checking account, or a deposit slip if you wish funds withdrawn from your savings account. If you have any questions, please call our AUTOMATIC PAYMENT Center at 1 800 851-0134 Monday through Friday between 7AM 7PM CST. FAX: 1-855-350-7480 Mail: AUTOMATIC PAYMENT CENTER CENTURYLINK PO Box 2399 Omaha, NE 68172-9068 CENTURYLINK AUTOMATIC PAYMENT AUTHORIZATION I authorize CENTURYLINK and the financial institution named below to process variable entries to my account.

Enrolling in the Automatic Monthly Payment Plan makes paying bills safe, easy and convenient. CenturyLink offers a payment plan that will automatically deduct your monthly payments from your checking or savings …

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Transcription of CENTURYLINK AUTOMATIC PAYMENT …

1 Enrolling in the AUTOMATIC Monthly PAYMENT Plan makes paying bills safe, easy and convenient. CENTURYLINK offers a PAYMENT plan that will automatically deduct your monthly payments from your checking or savings account approximately 18 days after your bill date. You may enroll in CENTURYLINK Autopay online at or sign and return this authorization form by fax or mail with a voided check or deposit slip. Include a voided check if you wish funds withdrawn from your checking account, or a deposit slip if you wish funds withdrawn from your savings account. If you have any questions, please call our AUTOMATIC PAYMENT Center at 1 800 851-0134 Monday through Friday between 7AM 7PM CST. FAX: 1-855-350-7480 Mail: AUTOMATIC PAYMENT CENTER CENTURYLINK PO Box 2399 Omaha, NE 68172-9068 CENTURYLINK AUTOMATIC PAYMENT AUTHORIZATION I authorize CENTURYLINK and the financial institution named below to process variable entries to my account.

2 This authority will remain in effect until I give reasonable notification to terminate this authorization. Your Area Code and Telephone Number Name as it appears on your CENTURYLINK bill. Name of Bank or Financial Institution Checking Account (ENCLOSE VOIDED BLANK CHECK) Savings Account (ATTACH SAVINGS SLIP) Daytime Telephone Number Date Office Use Signature ENCLOSE VOIDED BLANK CHECK OR SAVINGS SLIP Keep this portion for your records. I authorize CENTURYLINK to process variable entries to my checking or savings account and agree to the terms of the authorization form. Date: _____ Did you remember .. To enclose your voided blank check or savings slip? To sign your authorization form? To discontinue Autopay call the AUTOMATIC PAYMENT Center at 1 800-851-0134.

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