Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Waterside Account Number *Credit Card Information Please fill in your credit card information below.Card Type *VisaMastercardCredit Card Number *Name on Card *Expiry Date *Payment Frequency: Automatic Payments will be applied by the 27th of the month.Pick one option for payment: *MonthlyQuarterlySemi-AnnuallyAnnually- Pay for 11 months, Get 1 month freeOne Time PaymentI authorize Waterside Wireless Inc. to charge my credit card.Date *Submit To cancel this request, please email us at info@wsemail.net
