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Questions and Orders:
info@paypercall.com
(888) 227-6135
 

 

Custom900.com is now PayPerCall.com!
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PRINT THIS FORM, SEND IT BY MAIL OR FAX.
Send it to us completed, along with your payment for quick service.
We will expedite your order(s) immediately!
Allow 5-7 business days for setup.
Feel free to call us at
(888) 227-6135 or by FAX: (561) 423-9298

900 Number Custom Line Package
Order Form
Name:
Mailing Address:
City:
State and Zip Code:
Phone Number:
Email:
SS# or Tax ID:
Date:
Please select the number of 900 lines that you would like to order,
by filling in the quantity below:

____ Custom Live 900 - $1.99 per minute - $799

____ Custom Live 900 - $2.99 per minute - $799

____ Custom Live 900 - $3.99 per minute - $799

____ Custom Live 900 - $4.99 per minute - $799


____ Custom Live 900 - $10.00 FLAT RATE per call - $799

____ Custom Live 900 - $15.00 FLAT RATE per cal l- $799

____ Custom Live 900 - $20.00 FLAT RATE per call - $799

____ Custom Live 900 - $25.00 FLAT RATE per call - $799

____ Custom Live 900 - $34.95 FLAT RATE per call - $799



____ Custom Recorded 900 - $1.99 per minute - $799

____ Custom Recorded 900 - $2.99 per minute - $799

____ Custom Recorded 900 - $3.99 per minute - $799

____ Custom Recorded 900 - $4.99 per minute - $799


____ Custom Recorded 900 - $10.00 FLAT RATE per call - $799

____ Custom Recorded 900 - $15.00 FLAT RATE per call- $799

____ Custom Recorded 900 - $20.00 FLAT RATE per call - $799

____ Custom Recorded 900 - $25.00 FLAT RATE per call - $799

____ Custom Recorded 900 - $34.95 FLAT RATE per call - $799

Payment Method:

Money Order Certified / Bank Check Credit Card

Personal Check
(takes 3-5 additional business days to process)



Credit Card Info:
VISA MASTERCARD DISCOVER

Name:



Billing Address:


Credit Card Number:


Expiration Date:

Please make your check or money order payable to:

FutureQuest Marketing, Inc
Attn: New Accounts

3003 Yamato Road, Suite C8-1063
Boca Raton, FL 33434


Credit Card Orders May be mailed or Faxed to (516) 620-3049

 

Total Enclosed $________

 

Questions and Orders:
Email: info@paypercall.com
(888) 227-6135