Dunkerton Telephone Cooperative 701 S. Canfield Street PO Box 188 Dunkerton, IA 50626

AUTHORIZATION FOR AUTOMATED WITHDRAWALS (ACH DEBITS)

I (we) HEREBY AUTHORIZE Dunkerton Telephone Cooperative to debit my (our)
checking account as indicated below and the depository named below for payment
of services billed to me (us) for services provided by Dunkerton Telephone Cooperative.

This authorization is to remain in full force and effect until Dunkerton Telephone
Cooperative has received written notification from me (or either of us) of the termination
of this agreement.  Such notification must be given to Dunkerton Telephone
Cooperative in a timely manner so Dunkerton Telephone Cooperative can receive
payment due for services.

Name:  ________________________________________________________

Billing Address:  __________________________ PO Box:  ______________

City, State, Zip:  _________________________________________________

Financial Institution:  _____________________________________________

Branch:  _______________________________________________________

City, State, Zip:  _________________________________________________

Customer Signature:  ______________________________________________

                                   Please attach a voided check to this form and return to

                                  Dunkerton Telephone Cooperative.