Personal Information Please enter your Name and Address as they appear on your Credit Card Statement: First MI Last Company Address City State Zip Country How may we contact you if necessary? (Day Phone Required for Carrier) Day Hours: How did you find us? Night Hours: ("Yahoo", "Excite",etc.) E-Mail Credit Card Information To split charges across two cards: Card #1 Card #2 Expiration Date: Exp: Amt: Local Coverage Area Choose an Area Code for your Pager's desired Local Coverage: Please describe your desired Local Coverage by providing us with 2 or 3 major cities you want coverage for: Service Options
Local Coverage Area Choose an Area Code for your Pager's desired Local Coverage: Please describe your desired Local Coverage by providing us with 2 or 3 major cities you want coverage for: Service Options
Local AlphaNumeric Pager Rental
1-Year ($18.00/mo)
6-Mos. ($19.50/mo)
$
- Activation: $15.00 - First 200 calls/month FREE, 23¢/call thereafter (charged to your credit card on file)
OPTIONAL NUMERIC SERVICES
A second number with Numeric service is included with your AlphaNumeric pager.
Term length and coverage area(s) are the same as your AlphaNumeric service.
Local Pager Number
Choose an Area Code for your Pager's Local phone number:
(If you are ordering an 888 or 800 number, please enter "888"
or "800" and then select the option in the Optional Services
below. The cost is $6.50/month and $5.25/month respectively.)
Additional Per Month
Numeric VoiceMail Service:
MiniMail $
PageMail $
PageMail Plus $
- VoiceMail Access Code (allows you to access your messages)
Choose a 4-number Access Code (don't start with "0"):
Other Numeric Services:
Personal 888 Number $
Common 800 Number w/PIN $
Custom Greeting (no VoiceMail) $
Numeric Retrieval $
- Custom Greeting and/or Numeric Retrieval Access Code
Totals
Pager Rental/Service Total $
Processing Charge $
Subtotal $
2nd Day Delivery $
Overnight Delivery $
Total Charges $