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Application for Voice Mail, Fax Mail and
One number Voice & Fax Service

Please supply the following information for new service

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

* Indicates required information

I have read and AGREE with the terms of service :

*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:

Voice Mail: $7.95 per month.*
            Includes:
     * 250 Three minute long messages saved for thirty (30) days.
     * Caller I.D.
     * Date & Time stamp
     * Unlimited free email notification of voice mail messages.
     * Unlimited free paging

Fax Mail Service:    $7.95 per month.*
      * Unlimited faxes saved for 30 days.
      * Caller I.D.
      * Date & Time stamp.
     * Unlimited free e-mail notification of Fax Mail.
      * Unlimited free paging.

One Number Voice And Fax Mail: $12.95 per month.*
      * 250 voice mail messages saved for 30 days.
      * Unlimited faxes saved for 30 days.
      * Caller I.D.
      * Date & Time stamp
      * Unlimited free e-mail notification of voice and fax messages.
      * Unlimited free paging.

* For delivery of faxes and/or voice messages to e-mail add $2.00 per month.

Please choose options:

Caller I.D.           Paging.        Please supply me with a new Email address.

Please choose notification and delivery* options:

Notification to email for Voice and Fax messages.

Delivery to email of Voice and Fax messages.

Delivery to email of fax mail and Notification of Voice Mail .

Notification of fax mail and Delivery of Voice Mail to email.

* Voice and Fax delivery to email add $2.00 per month.

Payment Information:

*Card Type: *Credit Card ID # (optional).
*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?

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.

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National Headquaters
545 Eighth Avenue, Suite 401
New York, New York 10018

Email: rob@weanswer.com
Phone: 212-868-1154
Fax: 212-714-1453