Date you would like service to begin
How will the calls be directed to Phonepower® ?
Variable Call Forwarding
Remote (permanent) Call Forwarding
Will use local # provided by PHONEPOWER
Will use Toll-Free # provided by PHONEPOWER
Another type of phone connection
Will you be using a Toll-Free Number?
Yes -- provided by Phonepower®
Yes -- we already have one
Not at this time
Should Phonepower® 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)
--Please choose one of the following--
Eastern (US)
Central (US)
Mountain (US)
Pacific (US)
Other (please specify below)
Time
Zone "Other" explained
How many calls you expect to receive?
per day
per week
per month
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 Order-Taking Service
Caller Name
Company
Address (Street)
City, State and ZIP Code
Ship-To Address
Phone Number
Credit Card # and Expiration Date
Credit Card Type
Credit Card(s) Accepted:
VISA
MasterCard
American Express
Discover
Diners Club
Other (specify below)
(To select more than one card type, hold down the <CTRL> key)
Order Detail
Will use a web-based online order form (give details in the "Other--Please Specify" box below).
Online web site order-entry page address (if applicable):
OTHER -- Please SPECIFY:
How will your orders be delivered?
Orders will be input directly to our Web Site order page
FAX Mon-Fri at (specify time)
FAX Mon-Sat at (specify time)
FAX Every Day at (specify time)
Email Daily to (specify address)
Email 4 times daily (specify address)
Email on receipt (specify address)
Delivery Time(s) or other Detail:
Is a DIRECTORY required?
A Directory is generally required if the list of Products
exceeds TEN. A Directory may incur a setup or monthly maintenance charge*.
Not needed at this time
YES -- Updated 4 or more times per month
YES -- Updated 2-3 times per month
YES -- Updated Monthly
YES -- Updated bi-monthly
YES -- Updated Quarterly
YES -- Updated less than 4 times/yr
What is the price range of your product(s) or Service(s) -- NOT including tax or shipping charges?
(Please select all that apply )
(To select more than one option, hold down the <CTRL> key)
Less than $10
$10.00-$15.00
$15.01-20.00
$20.01-30.00
$30.01-50.00
$50.01-75.00
$75.01-100.00
$100.01-200.00
$200.01-500.00
$500.01-1,000.00
More than $1,000.00
Please note that, unless we are using an on-line form maintained by you,
your list of products must be submitted by mail, Email or Fax
at least several days in advance of your commencement of service.
Product information should include a UNIQUE Product Number, Description of the item, Cost, Tax Rates, Shipping and Handling charges.
If products come in different sizes, colors, packaging combinations or other variables,
each combination represents a DIFFERENT product number.
Please list ALL states for which we will need to calculate sales taxes, AND the tax percentage for each state.
How will SHIPPING charges be calculated?
NO SHIPPING CHARGES (included with item cost)
Charges will be calculated by our on-line entry form
As a fixed percentage of the total sale
According to a chart based on the total sale value.
A flat rate regardless of the size of the order
Please explain Shipping Charge details
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?
--
Mail DAILY using envelopes & postage provided
Mail WEEKLY using envelopes/postage provided
We will pick up
Will you require Mail SENDING Service (to re-send the mail to you)?
Yes* No
If YES, what type of service will be required?
NOTE: Envelopes and Postage must be provided.
--
Create Labels and Mail DAILY
Create Labels and Mail WEEKLY
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:
PERSONNEL ROSTER INFORMATION
Please list up to three individuals who can answer questions regarding this account, or respond to Emergency inquiries. Please list these individuals in the ORDER IN WHICH
THEY SHOULD BE CONTACTED IN AN EMERGENCY.
IMPORTANT
By initiating or subscribing to and using the services of Phonepower® , 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 then CLICK on 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: Orders will be retained in Phonepower® files
for 60 days and then destroyed.
Please NOTE that Phonepower® needs the information on this form
prior to commencement of service .
Procedures proposed by Subscriber are SUBJECT TO ACCEPTANCE by Phonepower®
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® , 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 Phonepower®, 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