Set Up Form

Billing Information

Set Up Form
We're more than just an answering service. We offer services including live operator assistance, voice mail with emergency operator dispatch, order taking, scheduling appointments and web-enabled services. We will customize a program to fit your needs. Please fill out the set up form to start service today.

Company Name

Company Address

City

State

Zip Code

Country

Billing Address (if different)

Company Phone 1

Company Phone 2

Backline#

Fax#

Telephone To Be Answered As

Bold = Required field

Office Hours:

Lunch Hours:

Type Of Business:

What Address (if any) Do You Want To Be Given To Your Callers?:

Do You Want Your Fax # To Be Given Out?:

Today's Date:

Start Date:

Names of Persons Receiving Calls:

Relay Instructions For The Operators: What information do you need us to obtain from the callers? What do wants us to do with the messages once we take them. For example do you want us to hold them, page you, fax them, email them, call your cell, etc. Do we only call you for emergencies only? etc. Please include all pager #'s, cell #'s, and resident #'s.

How did you hear about us?
Yellow Pages(Which City), Internet, Flyer, Etc.

Name

Title:

Home Phone:

Home Address:
City, State, & Zip:

Monthly Rate Plan

Extra Charges:(faxing, etc)

Sales Tax:( 8.25%)

Total: