Authorization for Direct Payment Automatic Bill Payment


                            Company Name:                  Dakota Internet Services                        (the "Company")
                            Mailing Address                  PO Box 843 Sioux Falls SD 57101                       


I (we) authorize the Company to initiate variable entries to my (our) account described below:

                 Checking Account No.                                                                                                          

                    Savings Account No.                                                                                                          

       Financial Institution's Name                                                                                                           

    Financial Institution's Address                                                                                                          


Attach a voided check, savings deposit slip OR provide the financial institution's routing number. 
Please Note: The routing number is found between these symbols |:_ _ _ _ _ _ _ _ _|: on the 
bottom left of your check or savings deposit slip.

                         Routing Number:                                                                                                           

This authority is to remain in full force and effect until the Company has received written notification 
from me (or either one of us) of its termination in such time and manner as to afford the Company a 
reasonable opportunity to act on it.                                                                                   

Signature:                                                               (Optional - For Joint Account)

Full Name:                                                              Signature:                                                               

Address:                                                                  Full Name:                                                             

Date:                                                                        Date:                                                                       

Telephone:                                                               Telephone:                                                             

Billing Account No.                                                                                                     


Attach Voided Check or Savings Deposit Slip Here