All subscriber information is held in strictest confidence.  Message Bureau does not sell or otherwise divulge any subscriber information except as required by law.

I have read and AGREE with the terms of service: 

* Indicates required information.
                                      
*Name:
  Company:
*Address:
  Suite #:    * City:   
*State:   *Zip Code:
*Home Phone:*Work Phone:
   Cell Phone:    Fax Phone: 
   Pager #:
   Email :(you're confirmation will be sent here)

Security Information:

*Last 4 digits only of your social security # :
*First school attended:

Services:

Fast Connect Follow-Me Service:   $19.95 per month includes:

     *  Unlimited local follow-me service (no per minute charge to the following area
        codes:  212, 718, 917, 646, 347.)
     *  Voice Mail
     *  Caller I.D.
     *  Time & Date stamp
     *  Unlimited paging 
     *  Unlimited email delivery or notification of voice mail messages.
     
Please note:  The follow-me numbers can be entered by the subscriber in user options 
at any time.  This information is not required unless you want Message Bureau to set the initial numbers

First Follow-Me number:   
Second Follow-Me number:
Third Follow-Me number:   
Pager Number:                 

Please choose basic options:

 Call Screening:         Caller I.D.:    Paging:

Please choose notification and delivery options: 

  Delivery of voice messages  to email.

  Notification  only  of voice messages to email.

Virtual Office One Number Voice and Fax Service:  $24.95 per month.
      
Includes all the services of One Number Fast Connect  plus:
      * Same Number Voice and Fax service.
      *  E-mail delivery or notification of Voice messages & Fax documents.
 
Please note:  The follow-me numbers can be entered by the subscriber in user options 
at any time.  This information is not required unless you want Message Bureau to set the initial numbers

First Follow-Me number:    
Second Follow-Me number:
Third Follow-Me number:    
Pager Number:                  

Please choose basic options:

 Call Screening:         Caller I.D.:    Paging:

 Please choose notification and delivery options: 

Notification only to Email for  Voice and Fax.

Deliver voice and fax messages to e-mail.  
 

Payment Information:

 *Card Type: Visa Master Card Amex Discover      * Credit Card ID # :
 *Card holders name:
 *Card Number:
 *Expiration Date:
 *Credit Card Billing Address:
 *City: *State:  
 *Zip Code:

* Location of Credit Card ID Information:

Credit Card ID Number Q: What is the Card Identification Number and how does it protect you? A: The Card Identification Number is the group of numbers immediately following your credit card number found on the BACK of your card on the signature strip. These numbers are used by your credit card company to help prevent fraud. Because the Card ID number is not printed on your receipts, it helps ensure that someone is not using your credit card information fraudulently. Note: The digits are printed on your card, rather then stamped in the plastic like the digits in your credit card number