Upper Peninsula Telephone Company

Payment Amount
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Payment Amount	$
Re-enter Amount	$

UPTel Customer Information
Please enter the information as it appears on your bill. This information must be accurate so that we can determine the correct account to apply your payment to.

Name on Account
Address
City
State / Province
Five Digit Zip Code
Country
Your UPTel Phone Number	Please enter your area code and number using numbers only.

Credit Card Information
Please enter the information below exactly as it appears on your Credit Card.

Card Type
Card Number	Please enter only numbers.
Cardholder's First Name
Cardholder's Last Name
Expiration Date	/
Security Code	what is this?
Cardholder's Billing Address
City
State
Five Digit Zip Code
Country

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