Submit your Request for Refund by filling out the form below.

   
Pay-Tel Communications, Inc
P.O. Box 19290
Greensboro, NC 27419
 Fax:
1(800)776-8423
   

REQUEST REFUND FORM
 
* First and Last Name:
  
* Address Line 1:
  
Address Line 2:
  
* City:
  
* State:
  
* Zip:
  
* Account Number:
(Phone number with Area Code)
  
* PIN:
(Personal Identification Number)
  
* Method of Last Payment:
 
* Email Address:
 
Additional Comments:
  
     
* Required Fields  

   
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