Tele-One Account Number:(Enter information as it appears on one of your Bank Checks - USA Banks Only)
Bank Name..............:Now using the following lower portion of a personal check as an example,
enter the information that appears at the bottom of your check.
A Business check may have the Check Number first.
Your Bank Account Number may contain spaces or special characters. Please enter the
number just as it appears on your check, you may use a - for any special character.
Optional - Enter any comments or other information, such as Banking Account Name
is not the Tele-One Account Name.
To confirm your Payment, email address, and the correct numbers, we ask you
to enter the complete row of numbers at the bottom of your check and your
Fax number address below.
These entries will act as your signature confirming your payment and intent.
Enter the complete row of numbers at the bottom of your check:
Enter your Fax number again here:
By checking "Authorize" you authorize Tele-One located in Tyler Texas to draft your bank
account for the "Amount you wish to pay" amount shown on this form as a payment
on your account with Tele-One. You acknowledge that you are the owner or authorized
signer on the account information entered in this form. Your payment will be processed
through your local bank as a normal check using a Draft Creator program, and your
account will never be accessed electronically. After you have entered the information,
there is no need to send the check to us. Simply write the payment information in your
checkbook, just as if you had sent it in. Payments received after normal business hours
will be processed the next business day.
Authorization:
