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Create a VoIP a la Carte Account

Customer Information
Company    
First Name Last Name
Address City
Province Postal
Tel# Email



Credit Card Information
First Name
Exactly as it appears on your credit card.
Last Name
Exactly as it appears on your credit card.
Address:
Exactly as it appears on your credit card statements.
City:
Exactly as it appears on your credit card statements.
Province
Exactly as it appears on your credit card statements.
Postal Code:
Exactly as it appears on your credit card statements.
Bank Name:
This is the bank name of your credit card.
Card Number: Expiration Date:
CVV Code:
This is the last 3 digits code printed on the back of your card.





Remark(s)



DID selection and options
Qty: City: Protocol: Options:
Qty: City: Protocol: Options:
Qty: City: Protocol: Options:
Qty: City: Protocol: Options:
Qty: City: Protocol: Options:



Options pricing: Voicemail $15.00/month, Call Forward Not Available $15.00/month

Call Forward Not Available will forward all your incoming calls when your internet
connection is down, your VoIP phone or server is out of service or when you do not answer your calls.




   
   
 

 

 






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