Basic InformationCompany Name*Legal Company Name*Contact Name*Service Start Date Date Format: MM slash DD slash YYYY Service Start Time : HH MM AM PM Street AddressMailing AddressWhich email address would you like your Invoices to be sent to?What is your preferred method of payment?EFTCredit CardChequeOffice Tel #1Office Tel #2Office Tel #3Toll FreeFax #1Fax #2Toll Free FaxTelecom Provider*General Email* Website URLOffice HoursPlease don't forget to let us know if you're open or closed over the weekends.RecapHow often would you like us to send you a recap of messages?DailyWeeklyMonthlyWhat day/time would you like your recap?Examples: Mondays at 8am -or- The first of every month at 6amWhich Email address would you like the recap sent to?General Account InformationHow would you like us to answer your phone:Example, "Good morning/afternoon/evening, Connections Trish speaking!" Message Requirements - Tick to show information you'd like us to take for you: Callers Name Telephone # Email Urgent/Non-Urgent Company Fax # Web URL Message Details In addition to the above, would you like us to obtain other information from your callers?Please note in the box below any information you'd like your callers to have access to:Call / Message ManagementHow would you like your regular calls managed?Make a SelectionMessages dispatched immediately upon receiptMessages held and dispatched hourly/daily/weekly/etc.Messages dispatched multiple times throughout the dayCaller should be transferred throughHow would you like your regular calls dispatched? Call Text/Page Email Fax Other Please tick all that apply OtherPlease provide any special details with regards to regular message dispatch:How would you like your emergency/urgent calls managed?Make a SelectionMessages dispatched immediately upon receiptMessages held and dispatched hourly/daily/weekly/etc.Messages dispatched multiple times throughout the dayCaller should be transferred throughHow would you like your emergency/urgent calls dispatched? Call Text/Page Email Fax Other Please tick all that apply OtherAre on call persons required to confirm pages/text messages? If so, how long after the emergency was dispatched?Please provide any special details with regards to emergency message dispatch (including a call out list if we are unable to reach 1st contact):Employee 1NameTitle/PositionEmailCell #CarrierOK to give out Cell?NoYesPager #CarrierOK to give out Pager?NoYesFax #Home #OK to give out Home Number?NoYes1st Contact*Make a SelectionPage/TextGive out Cell #Call CellCall HomeOther - See Instructions2nd Contact*Make a SelectionPage/TextGive out Cell #Call CellCall HomeOther - See InstructionsEmployee 2NameTitle/PositionEmailCell #CarrierOK to give out Cell?NoYesPager #CarrierOK to give out Pager?NoYesFax #Home #OK to give out Home Number?NoYes1st ContactMake a SelectionPage/TextGive out Cell #Call CellCall HomeOther - See Instructions2nd ContactMake a SelectionPage/TextGive out Cell #Call CellCall HomeOther - See InstructionsEmployee 3NameTitle/PositionEmailCell #CarrierOK to give out Cell?NoYesPager #CarrierOK to give out Pager?NoYesFax #Home #OK to give out Home Number?NoYes1st ContactMake a SelectionPage/TextGive out Cell #Call CellCall HomeOther - See Instructions2nd ContactMake a SelectionPage/TextGive out Cell #Call CellCall HomeOther - See InstructionsEmployee 4NameTitle/PositionEmailCell #CarrierOK to give out Cell?NoYesPager #CarrierOK to give out Pager?NoYesFax #Home #OK to give out Home Number?NoYes1st ContactMake a SelectionPage/TextGive out Cell #Call CellCall HomeOther - See Instructions2nd ContactMake a SelectionPage/TextGive out Cell #Call CellCall HomeOther - See InstructionsFile Drop files here or If you have more employees than space provided above, please attach a database of employees here. Otherwise, please feel free to submit the Additional Employee form as well.Thank you for signing with us!Please tell us if you have any additional instructions for us or share any comments here:Terms and Conditions (We will e-mail you a copy) Terms and Conditions This agreement effective (Date) is made and entered into by and between “ “ (herein referred to as “Customer”) and Connections Call Center, Inc (herein referred to as “Connections”). 1. Service Interruption/Force Majeure Connections intends to provide service pursuant to the attached proposal. However, Connections cannot control failures in telephone or internet or electric company service or other matters beyond its own control, therefore Connections shall not be responsible to Customer or to Customer’s customers for interruption of service caused by matters beyond Connections’ control, including, but not limited to, interruptions caused by fire, explosion, acts of God, war, revolution, civil unrest, or acts of public enemies; labor unrest including, but not limited to, strikes, slowdowns, picketing or boycotts; or any law, order regulation or requirement of any governmental body. 2. Improper Service Use Customer shall not use Connections’ service for any illegal, illegitimate or fraudulent purpose. If Connections determines or reasonably believes Customer is or may be using the service for such a purpose, Connections may terminate Customer’s service immediately without prior notice to Customer. 3. Term This agreement shall remain in effect until such time as either party provides thirty days advance notice. (Contract is on a month-to-month basis). 4. Billing and Payment We require certain payments in advance. Terms of billing are every month. All charges under this Agreement are due and payable upon receipt of Connections’ invoice. Unpaid balances not paid within thirty (30) days of the invoice date are subject to disconnection. If Customer’s account is more than thirty (30) days past due, Connections reserves the right to refuse to deliver data or provide services or to disconnect Customer’s service. If Connections disconnects Customer’s service; Customer shall pay all sums then due on its account plus a reconnect charge of $250 prior to restoration of service. Connections also reserves right to impose a deposit to be paid by customer prior to restoration of service. Customer is responsible for the full payment amount, regardless of any transaction fees incurred during processing of payment (including bank and credit card company fees). 5. Refund Policy Security deposits are non-interest bearing (if applicable) and will be refunded upon termination of services, provided all charges have been paid in full. All one-time set-up, programming and training fees as well as monthly base rates, are non-refundable. 6. Prohibited Uses The customer agrees that they will not use the service, or allow any other person to use the Service, for any unlawful or fraudulent purpose or with any intent to do so, and the customer will not use, or allow any other person to use, any foul or profane language in connection with the service. In using the service, the customer agrees to abide by all applicable rules and regulations of the Federal Communications Commission or any other lawful authority, and the customer agrees to abide by all reasonable rules and restrictions imposed by Connections upon its customers generally. 7. Telephone Numbers The customer understands and agrees that any “800”, “888”, “877”, “866”, or other number that is assigned to the customer’s account by Connections is and will remain the property of Connections. Before advertising such a number, the customer must obtain prior written authorization from Connections, which Connections may deny in its sole discretion. If the customer terminates this contract before the expiration of any such advertisement, or if connections terminates this contract for the customer’s failure to pay amounts due under or for any other breach of this contract, the customer will remain responsible for paying the base rate and all other charges on the account until such advertising expires or for ninety (90) days after such termination of this contract, whichever is greater. 8. Notices All notices and correspondence called for under the terms of this Agreement shall be delivered to the parties at the addresses listed on the proposal, which shall be deemed correct until either party receives written notice of a change of address. 9. Default If either party is in default under the terms of this Agreement, then in addition to all other sums due, the defaulting party shall pay the non-defaulting party’s costs of enforcing this Agreement, including but not limited to, the payment of reasonable Attorney's fees and court costs. 10. Errors Connections will receive and refer all Customer information using Customer-approved scripts and instructions. Customer will promptly notify Connections of any script or instruction changes. Customer understands that information received by Connections on behalf of Customer is by its nature oral and subject to error, and therefore, Connections shall not be responsible to Customer or to Customer’s customers for message errors, or the failure to deliver any information to Customer. 11. Indemnity Customer shall indemnify and hold Connections harmless from the payment of any and all claims for libel, slander, infringement of copyright arising from information transmitted over Connections’ facilities, and message errors, and any other claims arising out of Customer’s use of Connections services, including payment of reasonable attorney's fees and court costs incurred by Connections to defend itself on any claim. 12. Confidentiality Each party agrees that it will not permit the duplication, use, or disclose any confidential information, including information, reports and summaries of the activities of the parties related to Connections’ provision of services, to any person or entity (other than its own employees that must have such information for the performance of their obligations under this agreement and its auditors, examiners and other regulatory authorities as may be required during the ordinary course of their duties), unless prior written consent has been obtained from the other party. “Confidential information” shall not include information, which, at the time of disclosure, is generally known by the public and any competitors of either party or is required to be publicly disclosed by law, regulation, or other acts of governmental authority. 13. Choice Of Law This agreement shall be governed by and interpreted in accordance with the laws of the jurisdiction of the province of British Columbia, without regard to the principles of conflict of laws hereunder.* I agree to the terms of service.