This Payment by Check Form is for both
Segway Communications and
American Voice Mail

This is a SECURE FORM and TRANSMISSION

Pay by Check Authorization

We accept checks drawn on US banks.
If your check is not drawn on a US bank,
please click here to make a credit card payment.

Your Segway or American Voice Mail Account Number:

Your Segway or American Voice Mail Account Name:

Your E-Mail:

Your Telephone Number:

Best Time to Call:

Enter Your Name as shown on your check:

Enter Bank Name as shown on your check:

Here is a typical check.
Use this to identify the information needed to complete the form.

Check Number you are using:

9 Digit Bank Routing Number:

Checking Account Number:

Amount of Check $:

Any comments or special instructions:

The processing charge for each electronic and fax check is $2.85

Electronic Signature Type your First & Last Name: