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PURCHASE BY CREDIT CARD PAYMENT (FAX)

The fields marked * are required
Card holder's first name *
Card holder's last name *
Date of birth - - *
Gender Male Female *
Credit card type: *
Credit card number: *
Expiry date: / *
Email: *
Address: *
City: *
State/Province: *
Postal/Zip Code: *
Country: *
Phone: *
Choose Amount (USD): $5.00 $10.00 *
 
Credit Card Authorization

"I, (full name as on credit card) ______________________________ authorize
Times Telecom (USA) to debit my credit card (card number) __________________________
with expiry date _______________ for the use of the Times Telecom PC Phone services.
My Email as registered with Times Telecom is _________________________________.
My phone number is country code _______area code________ phone number
___________________________________.



____________________________
(signature)

Instructions: Print out the above form and fill in all information. Fax this to us at 1.888.980.8380 attention to "Customer Service: Manual Signup PC Phone." Please also include a recent copy of your credit card account or billing statement with the header, billing address, name and card number along with the above form duly signed and completed.

Note: please allow 3 working days for your account to be activated. If you have not received an email confirmation from us by then , please email csr@timestelecomusa.com with subject "Manual Signup PC Phone Delayed".

All purchases are subject to the Times Telecom (USA) PC Phone terms and conditions.
   
 
 
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Customer Service: 1.800.287.7626  email: support@timestelecomusa.com
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