AutoPay Enrollment - Wheat State Technologies

Safe, Secure, and Convenient!

Your phone bill is mailed or e-mailed to you each month. The amount due is deducted automatically from your bank account or charged to your credit card around the 10th of the month. The amount deducted is shown on your bank or credit card statement. Questions? Click here or call us at 1-800-442-6835.

Primary Account Holder Information

Name *

First

Last

Phone Number *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

WST Account Number: *

Payment Information

Choose Payment Method: *

CREDIT CARD AUTOPAY
CHECKING ACCOUNT AUTOPAY

Select One: *

Visa
Mastercard
Discover
American Express

Name as it appears on card: *

Card Number: *

Expiration (MM/YY): *

Card Verification Value (CVV): *

I hereby authorize WST, to initiate CHARGE transactions to my credit card account as indicated.

Bank Name: *

Bank Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Routing Number: *

Account Number: *

I hereby authorize WST, to initiate debit entries to my checking account indicated and the depository named above to debit same to such account. This authority is to remain in full force and effect until COMPANY and DEPOSITORY have received written notification from me of its termination in such time and manner as to afford COMPANY and DEPOSITORY a reasonable opportunity to act on my request.

eSignature

In the event of cancelling services and your final bill has a credit balance, your credit may be applied to the AutoPay form of payment on your account. Any questions or concerns may be directed to the Customer Care Team office at 1/800 442-6835 or via email at: care_team@wheatstate.com. Thank you for choosing WST for your voice and fiber Internet services. We appreciate your business.

PLEASE SIGN BY TYPING YOUR FULL NAME BELOW: *

Date *