Credit Card Authorization Form
Add your credit or debit card to automatically pay your monthly internet bill.
Name on the internet account
Card Holder First / Last name
Email address
Phone number we can text you at.
Billing Address
Physical Address
Credit Card number
Expiration Date
CCV
I authorize SEMO LTE DBA Technology One, LLC to bill my card each month for internet services until I cancel.
Authorize
Do not authorize
Signature
Clear
Verification
SUBMIT AUTHORIZATION FORM
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