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Basic Information
Company Name: ???
Legal Company Name: ????????????
Contact Name: ????????????
Service Start date: at
Street Address:

Mailing Address:
Office Tel #1: Fax #1:
Office Tel #2: Fax #2:
Office Tel #3: Toll Free Fax:
Toll Free: Telcom Provider: ???
General Email:
Website URL:
Office Hours:
  *Please don't forget to let us know if you're open or closed over the weekends.
General Account Information
How would you like us to answer your phone:
*Example, "Good morning/afternoon/evening, Connections Chrystal speaking!"
Message Requirements - Tick to show information you'd like us to take for you:
In addition to the above, would you like us to obtain other information from your callers?
Please note in the box below any information you'd like your callers to have access to:
Call / Message Management
How would you like your regular calls managed?
How would you like your regular calls dispatched?
*Please tick all that apply
Text/Page Email Fax Other
Please provide any special details with regards to regular message dispatch:
How would you like your emergency/urgent calls managed?
How would you like your emergency/urgent calls dispatched?
*Please tick all that apply
Text/Page Email Fax Other
Are on call persons required to confirm pages/text messages? If so, how long after the emergency was dispatched?
Please provide any special details with regards to emergency message dispatch (including a call out list if we are unable to reach 1st contact):
Employee 1
Name: ????????????
Title/Position:
Email:
Cell No.: Carrier: Ok to give out?
Pager No.: Carrier: Ok to give out?
Fax No.: Home No.: Ok to give out?

1st contact: 2nd contact:

Employee 2
Name: ????????????
Title/Position:
Email:
Cell No.: Carrier: Ok to give out?
Pager No.: Carrier: Ok to give out?
Fax No.: Home No.: Ok to give out?

1st contact: 2nd contact:
Employee 3
Name: ????????????
Title/Position:
Email:
Cell No.: Carrier: Ok to give out?
Pager No.: Carrier: Ok to give out?
Fax No.: Home No.: Ok to give out?

1st contact: 2nd contact:
Employee 4
Name: ????????????
Title/Position:
Email:
Cell No.: Carrier: Ok to give out?
Pager No.: Carrier: Ok to give out?
Fax No.: Home No.: Ok to give out?

1st contact: 2nd contact:

*If you have more employees than space provided here, please attach a database of employees here. Otherwise, please feel free to submit the 'Additional Employee' form as well.

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