Messaging Service Transfer by Fax Form Business Users Only Important: Read the User Agreement before ordering. Print this Page and Fax to 619.582.4616

Quantity Description Price Total (1) Service Level Selection: Monthly Base fee for 12 month renewable term paid by credit card. You will be charged the MBF plus any applicable usage fees thereafter on a monthly basis. All fees are non-prorated & non-refundable. ________ OneConnect - Office Assistant $29.95 x 2 ( Current month and next month) ________ ________ OneConnect - Personal Assistant $29.95 x 2 ( Current month and next month) ________ ________ Personal800 $29.95 x 2 ( Current month and next month) ________ ________ Custom Greeting Service $29.95 x 2 ( Current month and next month) ________ ________ Custom Numeric with Voice Mail $119.40 prepaid MBF amount ( 12 months) ________ ________ Custom Numeric $119.40 prepaid MBF amount ( 12 months) ________ ________ Masterline Message Center $12.95 x 2 ( Current month and next month) ________ ________ ________ (2) Service Transfer & Re-Activation Fee: ________ Per User (non-refundable) $50.00 ________ Sub-total: ________ 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: ______________________
Company Address:_________________________________________________________________
Billing Address:_________________________________________________________________
City/St/Zip:______________________________________________________________________
Contact Name:______________________________________________________________________
Contact Phone#:______________________________________________________________________
Company Phone#:________________________________________________________________________
Company Fax#:__________________________________________________________________________
Company Email:__________________________________________________________________________ (Company email addresses only. We do not accept Yahoo, MSN, or other personal email addresses.)
User Linking Information: per user
User Name:______________________________________________________________________
Linking Device Type (i.e. Cell, Blackberry, etc):_____________________________________
Carrier Name (i.e. Cingular, Sprint, etc):___________________________________________
Device or PIN number:________________________________________________________
Text or Email address :_______________________________________________________
. 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.

.

		Copyright 2002 Masterline Technologies Inc. All Rights Reserved. Home | About Us | Contact Us | Read our Terms of Use | Privacy Policy | Refund Policy | Trademark | Help All other trademarks and service marks mentioned herein are the property of their respective owners.