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One Time Credit Card Payment

To make a one-time payment online using a credit card, please fill out the form below as completely as possible. This will help us process your payment in a timely manner. Please note, we only accept VISA, MasterCard, and American Express. NOTE: PAYMENTS TAKE UP TO TWO BUSINESS DAYS TO PROCESS AND APPLY TO YOUR ACCOUNT.

Personal Account Information

LocalTel Account Number:
Name on the Account:
Telephone Number:
Email Address:

Payment Information

Amount you want to pay:
Credit Card Type: 
Credit Card Number:
Expiration Date 
Name on Card:
Credit Card Billing Address:
Zip Code:

Comments & Notes

Please submit any additional information below that may be helpful in processing your payment.

Submit

All information submitted on this form is strictly confidential and will not be shared with any person or company outside LocalTel Communications or NWInternet without your prior authorization.