Application for EFT Automatic Payment
Blanca Networks
129 Santa Fe Ave
Alamosa, CO 81101

Please complete and submit the application below for Electronic Funds Transfer.
All fields are secure.
  • Account Information

  • - -
  • - -
  • Automatic Payment

  • Promotion valid for a limited time only. Terms & conditions may apply.
  • Blanca Networks will automatically charge this bank account number for the amount of your bill between the 1st and the 10th day of every month.
  • Legal Information

  • Get your full monthly bill right to your email inbox instead of in the mail.
  • By checking this box, I acknowledge that the information provided in this application is factual and true.