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Sign Up For Online Billing

It's easy and convenient!

To submit your forms via email, please follow the steps below.

  1. Download each form: Authorization for Paperless Billing and Authorization Agreement for Automatic Payment.
  2. Open each form in Adobe Acrobat Reader®. If you do not have Adobe Acrobat Reader®, please click here to download the free software.
  3. Fill out each form in it’s entirety.
  4. Save each form in PDF file format. Please note, no other file format will be accepted.
  5. Email each form to billing@MyBridgenet.com.

To submit your forms in person, please follow the steps below.

  1. Download each form: Authorization for Paperless Billing and Authorization Agreement for Automatic Payment.
  2. Print form.
  3. Fill out each form in it’s entirety.
  4. Return to store.

Authorization for Paperless Billing

Authorization Agreement for Automatic Payment