Puget Sound Communications

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Company Name: *

Website Address:

Business Description / Services You Provide:

First Name: *

Last Name *

Main Phone #: *

Back Line #:

Fax #:

Physical Address: *

City *

State *

Zip Code *

Office Hours: *

Time Zone: *

Select the package you are interested in: * Economy
50 Call
100 Call
250 Call
500 Call
Advanced

Answer Phrase: (greeting to use when picking up your lines): *

Estimate of Monthly Call Volume: *

Would you like a local or Toll Free phone number? Local
Toll-Free add $4.99/mo.

Would you like us to set up a dedicated voice mail box? Yes add $4.99/mo
No

How would you like to receive your monthly call log? E-Mail
Fax
No Log

Name, Phone, & General Message are always taken, Please include all other information we need from your callers:

If you answered "NO", what days and times will we take your calls? (Please specify AM or PM):

Will you need your calls to be taken our standard Mon. thru Fri. from 9AM to 6PM PST? * Yes
NO
24/7 Upgrade

Please list the type of calls that should be dispatched immediately (list the type of calls you need to be contacted ASAP about:

When would you like to start service? *