Personal Billing Information:
First Name:    *
   
Last Name:    *
   
Address:    *
   
City:    *
   
State:    *
   
Zip Code:    *
   
Current Email:    *
   
Phone:    --*
   
 Enter your payment information:
Payment Method:    *
Credit Card #:   
 *
   
Expiration Date:   
 *
   
Security Code:   
   *
 
Last 3 numbers on the back of the card.   

 

   

                                     

 Plan Information:
Payment Plan:   *
 
Desired Username:   *
Desired Password:   *
 
Computer System:   *
Web Browser:   *
Referral:   *

Here write your local access number from previous pages:

*

There is a $4.50 set up fee that will be added to your days pro-rated first month bill.   Afterwards you will be billed for the next month on the twentieth day (20th) of every month.  Each contract is for a six (6) months minimum.  There is an early penalty fee of $25.00.


Fill out the information on this page, print it, then call Catholic Internet Services billing at 1-888-461-8760 to sign up.