TeleCHOICE :: Flat Rate Form

Flat Rate Service Agreement

Name:

Company Name:

Address:

City:

State:

Zip:

Phone:

Fax:

E-mail:

Billing Contact:

Billing Email:

Billing Phone:

Service Contract: How many Ports:

Other Contract:

Comments:

I hereby certify that the above information is true and correct and that A+ Conferencing has my permission to use this information for credit checking purposes. If credit is extended to me, I agree to pay my invoices promptly within 30 days of the invoice date. If I default in meeting these conditions, I understand that A+ can place my account on a credit hold status, which means my company cannot use anymore of A+ services until payments are made to restore my account. And if I do suspect any unauthorized usage, I will report it to Customer Service immediately at 800-622-0190.

By clicking the submit button below, you are agreeing to the above.

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