Masterline Messaging Order by Fax Form Prepaid 12 month Plan with bucket option* Important: Read the User Agreement before ordering. Print this Page and Fax to 619.582.4616

Quantity Description Price Total (1) Service Level Selection: Select Plan and Message option. Bucket message option is required on all prepaid plans. Upon cancellation of service, a one-time disconnect fee of $50.00 applies. Disconnect fee is separate from any outstanding balances. ________ OneConnect - Office Assistant $479.40 prepaid MBF ( 12 months) ________ ________ OneConnect - Personal Assistant $419.40 prepaid MBF ( 12 months) ________ ________ Personal800 $479.40 prepaid MBF ( 12 months) ________ ________ Custom Greeting Service $419.40 prepaid MBF ( 12 months) ________ ________ Custom Numeric with Voice Mail $239.40 prepaid MBF ( 12 months) ________ ________ Custom Numeric $179.40 prepaid MBF ( 12 months) ________ ________ Masterline Message Center ******Use month-to-month order form****** ________ ________ *300 Operator Message Bucket $225.00 prepaid bulk - operator plans only ________ ________ *1200 Paging/Voicemail Bucket $120.00 prepaid bulk - paging/voicemail plans ________ (2) Service Activation Fee: ________ Per User (non-refundable) $35.00 ________ ________ Deposit (non-refundable) $125.00 ________ Sub-total: ________ ________ Consultation Fee(s) $140.00 hourly rate or portion thereof ( First hour free) ________ Total: ________

**** ORDERING INFORMATION ****
Billing and Company account information: No P.O. Boxes Please
Fill-in all blanks. Please print clearly. All orders are subject to credit check.
Company Name:_____________________________________________Order Date: ____________
Federal Tax ID:____________________________: or Social Security No: ______________________
Dun & Bradstreet#:_________________________________________________________________
Company Address:___________________________________________________________________
City/St/Zip:______________________________________________________________________
Billing Address:_________________________________________________________________
City/St/Zip:______________________________________________________________________
Company Phone#:________________________________________________________________________
Company Fax#:________________________________________________________________________
Contact Name:________________________________________________________________________
Contact Phone#:__________________________________________________________________________
Company Email:__________________________________________________________________________ (Company email addresses only.We do not accept Yahoo, MSN, or other personal email addresses.)
Linking Information: Per User -- Please Print Clearly -- No Text Addresses
User Name:_____________________________________________________________________
Linking Device Type (i.e. Cell, Blackberry, etc):_____________________________________
Carrier Name (i.e. ATT, Verizon, etc):_____________________________________________
Device or PIN number:____________________________________________________________
Delivery Address/Email only: ____________________________________________________________
. Authorized Signature:________________________________________________ Date: _____________ Tel/Email (if different from above)_____________________________________________________
By activating the Service: (i) you acknowledge that you have read and understood, and you agree to the terms and conditions of this Agreement; (ii) you represent that you are of legal age to enter this Agreement and become bound by its terms; (iii) you are authorized by your company to enter into the agreement. Important: Read the User Agreement before ordering.

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