TelAlaska is pleased to be able to provide it's customers the
convenience of automatic bankcard deduction for their monthly billing.
To have your monthly payment charged to your Visa or Mastercard
each month, please read the following agreement carefully; enter
the information requested; sign the agreement and return it to us
with your next payment.
Once enrolled, your next statement will indicate that you do not
need to send payment. If this message does not appear on your bill
please contact 611 to inquire into the status of your application.
AUTO PAY TERMS AND CONDITIONS
As
an enrollee in this program, I understand that :
1.
I will receive a bill monthly, even though I am enrolled in the
autopay program. This bill will advise me of the amount to be
charged to my credit card between the 15th and 25th of the billing
month.
2. If charges to my credit card are declined for any reason, TelAlaska
will make an attempt to contact me for an alternate payment arrangement.
If I cannot be contacted, or fail to make alternate payment arrangements,
my account will be subject to normal credit procedures for non-payment.
If charges to this credit card are declined twice within a twelve-month
period TelAlaska has the right to terminate this autopay agreement.
3. I am responsible for notifying TelAlaska if I wish to cancel
this agreement.
4. If my credit card number changes for any reason, including
lost or stolen credit cards, I will notify TelAlaska of the new
account information. If I fail to provide this information prior
to the 15th of the billing month and TelAlaska is unable to process
my payment, I will be responsible for an alternate payment arrangement
and any late charges which may result.
5. TelAlaska may cancel or update this agreement, at any time,
upon 30 days written notice.
YOUR
BILLING NUMBER:_______________________________
YOUR MEMBER NUMBER:_______________________________
New SetupChange
YOUR NAME: ________________________________________
( Print name exactly as on credit card )
ADDRESS:__________________________________________________________________________
(Billing address of your credit card)
CREDIT CARD TYPE: (please circle only one)
VISAMASTERCARD
I, the undersigned, authorize TelAlaska, Inc. to charge my TelAlaska
billing to the credit card indicated above. I have read and understand
the above information and I agree to the above autopay terms and
conditions.
