PWC ANSWERING SERVICE

24 Hour Telephone Message Center

Basic Information Sheet

*Company Name: *Mailing Address: Main Contact Person: *Office Phone Number: Fax Number: E-mail Address:

LIST ALL TELEPHONE NUMBER THAT WILL CALL FORWARD TO THE ANSWERING SERVICE TO BE ANSWERED IN YOUR

COMPANY'S NAME. ONLY THESE NUMBERS CAN BE ANSWERED, HOWEVER OTHERS MAY BE ADDED AS NEEDED:

1.) ______________________________ 2.) ______________________________ 3.) ____________________________

4.) ______________________________ 5.) ______________________________ 6.) ____________________________

Regular Office Hours: Answer Phrase: ACCEPT COLLECT CALLS:
YES
NO
INFORMATION TO SECURE FROM CALLING PARTY:
NAME
PHONE NUMBER
ADDRESS
NATURE OF CALL
COMPANY NAME

ADDITIONAL INFORMATION YOU MAY REQUIRE: ____________________________________________________________________

__________________________________________________________________________________________________________________

PREFERRED METHOD OF MESSAGE DELIVERY:
Will call for messages
E-mail messages
Call me at residence
Page all messages
Fax messages
Page Ers only
Digital page
Call cell phone
Patch call to:_____________________

SPECIAL INSTRUCTIONS : _______________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________________

CONTACT LIST

*(list contact names and numbers, or simply fax a seperate sheet with contact names and numbers)

Name/Title - _________________________________ Contact Number - ______________________________

Rate Plan Chosen:
Basic - 140 calls / $95.00
Plus - 250 calls / $165.00
Advantage - 385 calls / $250.00
Platinum - 575 calls / $365.00
Custom
Best time to contact you to obtain additional information:

*PLEASE PRINT FORM AND FAX TOLL FREE TO (800) 637-8977 / PLEASE FEEL FREE TO CALL WITH ANY QUESTIONS

*ALL INFORMATION IS KEPT CONFIDENTIAL

PWC ANSWERING SERVICE