Pay Tel Direct Bill Application

APPLICATION INSTRUCTIONS

To apply for a Direct Bill Account with a credit limit of $50.00, please fill out the form below. Pay Tel Communications, Inc. will send you a bill bi-monthly. With a Direct Bill Account your service will not be interrupted as long as you pay your bi-monthly invoices on time and keep your outstanding charges under your credit limit.

For privacy and security of your personal information, you need to create your own six-digit Personal Identification Number or PIN. You will need your PIN to access your account in the future to check your account balance or to request a refund of unused funds. Your PIN should be written down and kept in a secure location.

Complete the form below; click "SUBMIT" and a confirmation page will be displayed. Direct Bill Applications are processed in a timely manner during normal business hours. You will be sent an e-mail within 24 hours with verification of approval or denial of your credit application. Once your Account Number and PIN have been confirmed, you may access your account to check your balance or make a payment 24 hours a day.

Phone conversations with inmates will be recorded and are subject to monitoring at anytime and all called party information is available to law enforcement.

Thank you for your interest in Pay Tel's Direct Bill Account Option.

Fields with * are required.

Login Information

Phone * (Number Inmate will Dial, Also Your Account Number] Ex. [XXXXXXXXXX])

PIN (must be 6 digits) *

PIN (Re-enter for Confirmation) *

Security Question *

Security Answer (50 characters max) *

Account Information

First Name *

Last Name *

Facility State *

Facility Name *

Date of Birth *

Email *

Email (Re-enter for confirmation) *

Direct Bill Information

Social Security Number * (9 digits, no spaces or dashes)

Drivers License Number *

Drivers License State *

Billing Address

Address 1 *

Address 2

City *

State *

Zip *

Authorization

By choosing "I Agree" and clicking "SUBMIT" the applicant gives permission for Pay Tel to run a credit report for the sole purpose of obtaining your Beacon Credit Score. Applicants must meet a predetermined Beacon Score range to be considered for a Direct Bill Account. By choosing "I Agree" and clicking "SUBMIT" you are also acknowledging that phone conversations with inmates will be recorded and are subject to monitoring at anytime and all called party information is available to law enforcement.

If you do not qualify for a Direct Bill Account, please consider our Prepaid program.

Disclaimers: Pay Tel Communications, Inc. reserves the right without notice to its customers and in its sole discretion to modify or amend any or all of its policies.

The theft of telecommunications services is a crime. Pay Tel Communications, Inc. reserves the right to block calls to persons that do not pay for services and to prosecute individuals that attempt to steal such services.

Important Note: This form will be transmitted in a secure, encrypted format using the SSL protocol.

Terms of Service

I agree to the Terms of Use *

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Pay Tel Communications, Inc. , Inmate Communications Integrity