1234 Address
New York New York, NY 12345

Phone: (123) 456-7890

Open New Account Online -- via Visa, MasterCard, Discover or American Express.

Payments accepted for Maui Net, Maui Gateway, Cyber City, Tiki Net & Mahalo Net

Enroll in our automatic bill payment plan today, and never forget a payment again. Convenient, easy, and
always on time, your payments will automatically be deducted from your credit/debit card.

Payments are processed 9:30AM - 5:00PM Monday through Friday (excluding Federal holidays).

Enter the name and address of the credit card holder below. Enter your name exactly as it appears on your