Sign Up! (Answering Service)

To begin the process of applying for Live Telephone Answering Service, please answer the following questions.

Your attention to detail at this stage will result in much more efficient and effective service. We need specific information regarding your needs and expectations. Complete, well-thought-out answers will help Phonepower^Ž to personalize the service for your specific requirements. Please note that some answers are REQUIRED in order to establish service.

Please route this information to the attention of this Phonepower^Ž Customer Service Specialist:
If your Phonepower^Ž Customer Service Specialist is not listed above, please enter their name here:
Subscriber Name (Company or Person)
Subscriber Contact Person (Owner or Manager)
Physical Address, City, State, ZIP Code	A physical address MUST be provided!
Billing Address, City, State, ZIP Code
E-mail Address of Contact Person
Business Federal Tax ID (EIN) (or Social Security Number for individuals or sole proprietorships)
Main Published Phone Number (including Area Code)
Secondary Phone Number or Toll-Free Number
Private ("inside") Phone Number
FAX Telephone Number
If your company has a Web Site, please enter the address here:
Type of Business, including Product Line (if applicable). [Please include specific* information identifying your product(s) or service(s). "Sales" or "Marketing" or "Retail" are too general and NOT valid responses.]*

How did you learn about this web site? *(To select more than one option, hold down the <CTRL> or <CMD> key)*
If requested, please explain or provide additional information to your answer(s) to the above question:

Date you would like service to begin

Need a Calendar? Click here.

How will the calls be directed to Phonepower^Ž?

Will you be using a Toll-Free Number?

Yes -- provided by Phonepower^Ž
Yes -- we already have one
Not at this time

Should Phonepower^Ž accept COLLECT calls?

Yes No

What words should we use to answer the phone?
(60 character limit)

Please list your Office Hours

Mon
Tues
Weds
Thurs
Fri
Sat
Sun
Hrs by APPOINTMENT ONLY?

Time Zone (for above-listed Office Hours)

Time Zone "Other" explained

Please describe what you would consider to be the types of "Routine Calls" that we might received on your line. What will be the CONTENT or PURPOSE of the calls?
(NOTE: If more than 50% of your calls will be ORDERS, your account may be subject to Order-Taking rules, regulations and rates.)

What types of information are we expected to try to obtain from the caller?

Please remember that this list should be kept to an absolute MINIMUM, in order to control your costs for Answering Service

For (Specific person caller is trying to reach)
Caller Name
Company
Address (Street)
City
State, ZIP Code
Phone Number
E-mail Address
Message
Work or alternate Phone Number
Best time to return call
Is this an Emergency?
Do you need to speak with someone before the next business day?
(If using ALPHA Pagers) Advise caller to CALL BACK if call is not returned in 15 minutes OR
(If using ALPHA Pagers) Advise caller to CALL BACK if call is not returned in 30 minutes
Standard Medical Account and Consult information list.
Standard Funeral Home & Death Call information list.
OTHER -- Please SPECIFY:

How should "ROUTINE" messages be delivered?

Time(s), Email Address, or other Detail:

Please describe any "Special Conditions" for message delivery (such as RESTRICTED DELIVERY to specific persons, PASSWORDS which must be given to operators, etc.)

Please describe an "EMERGENCY" or
"URGENT" call, which Phonepower^Ž
should attempt to relay as soon as possible:

There will be NO EMERGENCY OR URGENT CALLS on this account
Threat to life or property
Injury or death
If caller states it is an "emergency"
Caller needs to speak with someone before next business day.
OTHER -- Please BE SPECIFIC

Procedure for dispatch of Emergency or Urgent calls:

Check here if NO EMERGENCY RELAY is required or necessary.
There should be at LEAST 3-5 steps in your Emergency Relay Procedure

Step 1

(Name or #)

If no answer, caller calls back (or no response to page after ), Step 2

(Name or #)

If no answer, caller calls back (or no response to page after ), Step 3

(Name or #)

If no answer, caller calls back (or no response to page after ), Step 4

(Name or #)

If no answer, caller calls back (or no response to page after ), Step 5

(Name or #)

If no answer, caller calls back (or no response to page after ), Step 6

(Name or #)

If no answer, caller calls back (or no response to page after ), Step 7

(Name or #)

If no answer, caller calls back (or no response to page after ), Step 8

(Name or #)

If no answer, caller calls back (or no response to page after ), Step 9

(Name or #)

If no answer, caller calls back (or no response to page after ), Step 10

(Name or #)

Should EMERGENCY calls be RE-DELIVERED with your "Routine" message delivery procedure? (May incur additional charge*)

Is a DIRECTORY* required?
A Directory is generally required if the list of Emergency Personnel exceeds TEN, OR if Phonepower^Ž is expected to provide information to a caller from (or take orders for) a list of TEN or more items A Directory may incur a setup or monthly maintenance charge*.

How shall we handle PERSONAL CALLS?

On-Call information will be updated

On-Call information will be provided to Phonepower^Ž by

If you would like the phone to be answered by a "Pre-Screen" message (no additional charge) to advise callers of your office hours, advise to call back during regular hours if not an emergency, or perform other screening functions, check here: (instructions will be provided for how to set up and record this message)

Pre-Screen feature requested.

If you wish us to record your Pre-Screen message (60 second maximum), please enter your message here:

If you would like to use the "Custom Auto-Answer" feature (no additional charge) to provide a customized message identifying your company, hours, etc., in the event the phone rings more than 4 times during busy calling periods, check here: (if this box is not checked, the phone would be answered after 4 rings with "Thank you for calling, we'll be right with you.")

[ For more information on Custom Auto-Answer, click here. ]

Custom Auto-Answer requested.

If you wish us to record your Custom Auto-Answer message (60 second maximum), please enter your message here:

Will you require Mail Receiving Service?
Mailing addresses available at all of our office locations.

Yes* No

If YES, how shall we process mail which is received?

PERSONNEL ROSTER INFORMATION
Please use the following sections to provide a COMPLETE LIST of all Managers, Supervisors and On-Call individuals, their areas of Specialty, and contact information. Please list these individuals in the ORDER IN WHICH THEY SHOULD BE CONTACTED IN AN EMERGENCY, should the designated On-Call individual(s) not be reachable.

Person Number 1 Name
Position/Title
Home Phone (with Area Code)
Pager Number (with Area Code)
Pager Type
Mobile/Cellular or Alternate Phone #


Person Number 2 Name
Position/Title
Home Phone (with Area Code)
Pager Number (with Area Code)
Pager Type
Mobile/Cellular or Alternate Phone #

Person Number 3 Name
Position/Title
Home Phone (with Area Code)
Pager Number (with Area Code)
Pager Type
Mobile/Cellular or Alternate Phone #

Person Number 4 Name
Position/Title
Home Phone (with Area Code)
Pager Number (with Area Code)
Pager Type
Mobile/Cellular or Alternate Phone #

Person Number 5 Name
Position/Title
Home Phone (with Area Code)
Pager Number (with Area Code)
Pager Type
Mobile/Cellular or Alternate Phone #

Person Number 6 Name
Position/Title
Home Phone (with Area Code)
Pager Number (with Area Code)
Pager Type
Mobile/Cellular or Alternate Phone #

Person Number 7 Name
Position/Title
Home Phone (with Area Code)
Pager Number (with Area Code)
Pager Type
Mobile/Cellular or Alternate Phone #

Person Number 8 Name
Position/Title
Home Phone (with Area Code)
Pager Number (with Area Code)
Pager Type
Mobile/Cellular or Alternate Phone #

Person Number 9 Name
Position/Title
Home Phone (with Area Code)
Pager Number (with Area Code)
Pager Type
Mobile/Cellular or Alternate Phone #

Person Number 10 Name
Position/Title
Home Phone (with Area Code)
Pager Number (with Area Code)
Pager Type
Mobile/Cellular or Alternate Phone #

For personnel rosters larger than 10, please submit information in writing or by Fax
to your Communications Consultant

Which Rate Plan do you consider most appropriate for your needs? (Refer to your Rate Proposal for details)	Base Rate $ (US Dollars)
	Minutes Included
	Additional Minutes Rate ˘ (US Cents)
Your rate plan CAN be changed at any time if your usage increases or decreases. The minimum period of service is 30 days.

Use this space for additional information NOT included above

IMPORTANT
By initiating or subscribing to and using the services of Phonepower^Ž, you agree to the
TERMS AND CONDITIONS as outlined on the
Service Policies, Supplemental Charges and Terms and Conditions Page.
PLEASE REVIEW THIS INFORMATION before submitting your application,
and click to place a DOT IN THE ACCEPTANCE BUTTON below.

*Please refer to the Terms and Conditions statement or speak with your Communications Consultant
regarding additional charges for these services.

IMPORTANT: Messages will be retained in Phonepower^Ž files
for 60 days and then destroyed.

Please NOTE that Phonepower^Ž needs the information on this form
prior to commencement of service.
Procedures proposed by Subscriber are SUBJECT TO ACCEPTANCE by Phonepower^Ž

I have read and understand the TERMS AND CONDITIONS
and SERVICE POLICIES.
I understand that by initiating or subscribing to and using the services of Phonepower^Ž, Inc.,
I agree to be bound by these provisions.
I further understand that for service to continue,
I must PRINT OUT, SIGN and MAIL or FAX
a signed copy of this Service Application to the PhonepowerŽ, Inc Office, to be received
not more than TEN DAYS from the date I submit this application on-line.
[Addresses and Fax Numbers are on the Home Page]

If this button is checked, I HAVE NOT read the TERMS AND CONDITIONS
and SERVICE POLICIES,
and will NOT be eligible to begin service.

IMPORTANT: You MUST click on the "Submit Application for Service" button (below) in order to transmit this information

Method of Payment

Credit Card Payment

To pay by credit card, click here to process the payment in a separate window. Once the payment has been processed, RETURN TO THIS PAGE to complete this form.

Check or Money Order

To pay by Check or Money Order, SEND your payment to

Accounts Receivable Department
Phonepower, Inc.
1331 12th Avenue Suite 200
Altoona PA 16601

We are considering taking Check Payments via this form. Although currently unavailable, please check here if you would use that type of payment method in the future.

--- New accounts will be processed once payments have been received. ---

IMPORTANT: You MUST click on the "Submit Application for Service" button (below) in order to transmit this information

SIGNATURE ______________________ Date _
Please PRINT name ___________________________________

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Last modified: December 31, 2005

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Other (please explain)

Sign Up! (Answering Service)

Need a Calendar? Click here.

Your rate plan CAN be changed at any time if your usage increases or decreases. The minimum period of service is 30 days.

Method of Payment

Credit Card Payment

To pay by credit card, click here to process the payment in a separate window. Once the payment has been processed, RETURN TO THIS PAGE to complete this form.

Check or Money Order

To pay by Check or Money Order, SEND your payment to

Accounts Receivable Department Phonepower, Inc. 1331 12th Avenue Suite 200 Altoona PA 16601

--- New accounts will be processed once payments have been received. ---

SIGNATURE ______________________________ Date _______________ Please PRINT name _________________________________________

Return to Answering Service Page

Last modified: December 31, 2005

Your rate plan CAN be changed at any time if your usage increases or decreases.
The minimum period of service is 30 days.

Accounts Receivable Department
Phonepower, Inc.
1331 12th Avenue Suite 200
Altoona PA 16601

SIGNATURE ______________________ Date _
Please PRINT name ___________________________________