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Online Billing Registration

 General Information:
Required Field *
* First Name:  
* Last Name:  
* Company Name:  
* Address:  
 
* City:  
* State/Province:  
* Zip Code:  
* Email:  
* Confirm Email:  
Please choose your own user name and password.
Keep this information as you will need it to access your billing reports.
Username:  
Password:  
Confirm Password:  
* Phone:  
Fax:  
Ring-To-Number:  
* Check or Credit/Debit Card Information
You can either choose the "Pay By Check" option
or one of the the "Pay By Credit Card" options below
Pay By Check
This option will include an additional $15 charge
for a check handling fee each month.

OR Pay By Credit Card
You will see a line on your credit statement similar to the following
-->Telesmart Number Services Aloha OR 503-539-3303

Visa
Mastercard
American Express
* Card Number:  
* Expiration Month:  / Year /
* Cardholder Name :  
 Credit Card Billing Address, if different from address listed above.
Address:  
 
City:  
State/Province:  
Zip Code:  
 Comments:


 Service Information:
* Toll Free Number:  
Service Area: 
 Terms and Conditions:

Please type your name as your signature here

Please read and mark your acceptance below to the following terms and conditions
    I have read and accept Telesmart's Terms and Conditions.
    I authorize TeleSmart to bill my credit/debit card each month for the agreed to amount + usage per month or $10 monthly minimum if the usage does not meet the minimum.
 
 If you have any questions please contact:
1-800-TELESMART (800-835-3762) or registration@telesmart.com

Thank You