Please provide the following information. A representative will contact you to obtain payment information. This form is for our standard service plans, for custom plans please contact us.

Contact Information

Full Name:


Company Name:


Type of Business:


Title:


Billing Address:


Physical Address (If different from billing address)

Direct Business Phone:
  Ext. 

Cell Phone:


Other Phone Numbers in Your Office:                 


Backline Phone Number:
 

Email Address:



Which holidays will your office be closed?
New Years Day,
MLK
President Day
Memorial Day
4th of July
Labor Day
Thanksgiving
Christmas
Other, please specify:


General Instructions

Company officers or staff who will be receiving calls:

Will you be call forwarding?  Yes  No

Will you request to use one of our phone numbers for incoming calls? If so, a deposit will apply.    Yes  No


Important and/or Frequent Callers:

Daily Instruction:



Answer the Phone by Saying:


Ask Callers for:
Name
Number
Firm
Address
Message
Other, please specify: 

Message Handling:
Call us with all messages
Call us with emergencies or long distance calls, otherwise we will call for messages
Do not relay our messages, we will call you
Fax Number:
      Please provide fax number:
Email:
      Please provide email address:

Message Delivery Times (please list):


Additional information that may help your telephone secretary:


Comments and other special service needs:


I have read and agree to the terms and conditions. The submission of this request for service constitutes a digital signature.