Information Form

.Please provide the following contact information:

First Name
Last Name
Address 1
Address  2
City
State/Province
Zip/Postal Code
Country
Home Phone
E-mail

Please provide Bill Pay Property Address:

Address 1
Address 2
Fracc./Colonia
City,Puerto,Town
State/Province
Zip/Postal Code
Country
Home Phone
Local E-mail

Local Contact Person (if applicable) 
 

 

 

 

Payments to be made to:

Telemex    Phone #    Folio#

CFE          Numero de Servico #:              
                  Domicillio fiscal #:(top left under the billing date) 

Japay        Scan #  (29 digit)       

Cablemas    Contracto #: 

Sky            Account #:      

Additional Information: