Welcome to Tele-One Communications Credit Card Fax Pay
Please type your information here and print the form from your browser. |
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Account Information
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| Account Number: |
 (This is your Tele-One Account Number) |
| Description: |
Communications Services by Tele-One |
| Amount: |
(USD) |
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Credit Card Information
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| Accepted Cards: |
Visa
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MasterCard
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American Express
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Discover |
| Card Number: |
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| Expiration Date: |
MMYY |
| Card Code: |
This is the last three digit number on the back of your card on the signature strip. |
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Please provide the following information as it appears on your Credit Card Bill
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| First Name: |
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| Last Name: |
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| Company: |
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| Address: |
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| City: |
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| State: |
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| Zip: |
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| Phone: |
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| Fax: |
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| Authorization: |
Check this box to authorize Tele-One to process this Credit Card transaction |
Print this form from your browser and Fax it to 888-215-9416
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