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Business Name*
Name the operators will answer for - (if different from above)
Email*
Type of Business
Office Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact Information (for us to contact you)
Contact Name*
First Last
Contact Number*

Number for us to contact you regarding your account
Forwarding Number (We will issue you a number, you will forward to, when you want the operators to answer your calls)*
- Random US Number (included) You want a random number if you are forwarding your existing phone to our "call forwarding number"
- Toll Free ($10/month additional fee)
- Local area code ($10/month additional fee) your clients call a local number we issue and it will ring directly to the operators
Local Area Code and Prefix (Only if you need a local number)
Monthly Call Estimate*

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Customize Your Service
Standard Delivery of Caller Information Includes:
- Name
- Company Name (if applicable)
- Phone number
- What Call Is Regarding
Affordable Phone Answering Service*
- 40 calls – $0.89 per additional call
- 100 calls - $0.89 per additional call
- 40 minutes/per month – $0.89/per additional minute
- 100 minutes/per month – $0.89/per additional minute
Additional Options for the call forwarding number we issue
- $10.00 Toll-free number access to service (local number free)
- $10.00 Local area code forwarding number (local number free)
Delivery Options
Unlimited Free Delivery Option*
- Email
- Text
- Email and Text additional $0.10 per call* to Enter Email Address and/or Cell Phone Number from the body of the form - see below
Enter Email Address and/or Cell Phone Number*

*You may enter up to 7 different emails or up to 4 different text numbers for bulk notification at no additional cost. If both email and text delivery are needed, an additional $0.10 per call will be added.
If the operator is asked - additional Information to provide to the caller
If we are asked - Can we name the person who will be calling back? If so what is their name?
If we are asked - how soon can the caller expect to hear back from your business?
What are your office hours? Monday-Friday?
If we are transferring calls
A, Who are transferring calls to?

(one person or go through a list that you provide)
B, What number to transfer to?
C, What calls are we transferring?

e.g. all calls or just emergency calls etc
D, What hours are we transferring calls?

e.g 24/7 or 9-5 EST etc
If we are following a scrip - Please provide instructions below

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This form is handled by a secure connection to protect your data.
Payment Details
Use PayPal Checkout
- Yes
Cardholder Name*
Card Number*
Card Expiration Date*
Security Code*
Billing Zip Code For Credit Card*
ZIP / Postal Code
The undersigned declares that the above information is correct and complete and authorizes Flat Rate Phone Answering Service, to charge all amounts owed, by the above company or undersigned to Flat Rate Phone Answering Service to the above credit card.
Terms and Conditions*
- By ordering, I understand and agree to all the Terms and Conditions.
Name*
First Last
Date*
Rate

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Step 1 of 3

Contact Information (for us to contact you)

Customize Your Service

Delivery Options

If the operator is asked - additional Information to provide to the caller

If we are transferring calls

Payment Details