Inter.Net.Works Incorporated
234 Camp Street,
North Cummingsburg,
Georgetown.

Customers’ Name: ________________________________ Date:_______________

E-mail Address:___________________________________@networksgy.com

Amount:__________________________ Cheque #_____________________

Signature:___________________________ Please Print Name:___________________________

This mode of payment is to facilitate subscribers who are unable to make payments during working hours.

INSTRUCTIONS

- Please complete form and place in an envelope addressed the “billing department” along with cheque payment.
- Please print all information legibly.
- Please DO NOT enclose cash in the drop box, any cash payment made into the drop box
is done so at the clients’ own risk.
- Payments delivered after 4 P.M. will NOT be processed until the next working day. 
- All internet subscriptions are due on or before the 7th day of the month.
- Payments made after the 15th will incur a late fee of $1000.00 which will be billed to your account.
- A re-connection fee of $2500.00 will be applied to payments received after the 22nd day of the month. Payments made after the 22nd excluding the re-connection charges, will not be processed until full payment is made.
- Place your sealed envelope with your subscription and completed payment slip into the dropbox at our offices 233 Camp Street, Georgetown. There are NO OTHER DROPBOX LOCATIONS.
- An acknowledgment will be sent to you via e-mail upon receipt of your payment.

THIS PAYMENT SLIP IS AVAILABLE ON OUR WEBSITE
http://www.networksgy.com/dropbox.htm

Copyright © 2001 Inter.Net.Works Inc. . All rights reserved.