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Name*
First Last
Company Name
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please provide the headquarters address. If you have more than one location, we will gather that data during the on boarding process.
Email*
Phone*
Alternate Phone
Services
- Live Physical Video Receptionist or Security Professional
- Live Telephone Receptionist
Level of Live Physical Video Receptionist/Security You Want.*
Please review the options and select the option you want. Please note, if you have enterprise negotiated pricing it will be corrected in our accounting system.
Phone Receptionist
- Yes +$1.00 Per Hour
- No +$0.00 Per Hour
If you want Phone Receptionist Added to your video service, please select yes.
Automatic Payment
- Yes +$0.00
- No +$50.00 Per Month
If you want payments automatically deducted from a credit card or bank account select YES. Please note that there is an extra monthly charge for not having automatic payments.
Term Setup Fee*
This is a 1 time setup fee (not monthly). You may pay the setup fee and try the service, if you sign a 1 year term within the 30 day LOOK period the Term Setup Fee difference is returned to you in the form of a credit for your service.
Solicitation Policy*
When a guest arrives in your office, our employee will greet them and ask the purpose of the visit. If its a solicitation they will follow the instructions below.
Visitor Check In Policy
- Yes
- No
Are guests of your company required to check in? If they are required a database of guest visits are maintained.
Visitor Badge Policy
- Yes
- No
Are guests of your company required to have badges? If they are required to have a badge, one will be printed before contacting your employee.
Conference Room Directions
Please describe the instructions for how to get to your conference room from your lobby.
Optional Items
- Video Conference Room Access $10.00 Per Month/Room
- Direct Dial Phone Number forwarded to your phone $10.00 Per Month
- Direct Dial Fax to email (unlimited fax receipts) 10.00 Per Month
- Automated Attendant (For After Hours) ($20/Month)
Choose the additional items you want.
Optional Setup Items
- HD Web Cam $75.00
- PC Speakers $50.00
- Ring Receptionist Button $35.00
- Receptionist Directions Sign Custom $29.00
- Local Configuration $100.00 (if no company employee is available to install)
- PC With Monitor $699.00 (If you dont have one)
- Visitor Badge Printer $399.00
- Visitor Self Adhesive Badges $20.99 for 100
- Monitor 55 Inch $999.00
- Monitor 27 Inch $299.00
- Small Desktop Tripod $20.00
- Large Self Standing Monitor Tripod $129.00
- Monitor Wall Mount $79.00
Choose the additional items you need, if you don't already have them.
Additional Monthly Cost Disclosure LPVR
- Video Conference Server Access $5.00 Per Month/Location
- Remote Desktop to Lobby PC $5.00 Per Month/Location
- Contact Management Access 15.00 Per Month
Additional Monthly Cost Disclosure Live Physical Video Receptionist/Security
Additional Monthly Cost Disclosure LTR
- Video Conference Server Access $5.00 Per Month/Location
- Remote Desktop to Lobby PC $5.00 Per Month/Location
- Contact Management Access 15.00 Per Month
Additional Monthly Cost Disclosure Live Telephone Receptionist
Payment Options*
PLEASE NOTE THAT A ONBOARDING REPRESENTATIVE WILL CONTACT YOU AFTER YOU SIGN UP TO GET YOUR SPECIFIC PAYMENT DETAILS.
Name as it appears on your Credit Card or Bank Account
First Last
Hidden
Credit Card Number
Hidden
CVV Number
3 or 4 Digit number from your credit card.
Hidden
Credit Card Expiration Date
MM slash DD slash YYYY
Hidden
Bank Routing Number
Hidden
Bank Routing Number Confirmation

Please Input the bank routing number again.
Hidden
Bank Account Number
Hidden
Bank Account Number Confirmation

Please input your bank account number again for Bank Account Number Confirmation.
Office Campus Map
Max. file size: 32 MB.
Please upload your office campus map if you have one.
Employees In Your Organization
First Name Last Name Mobile Office Extension Cell Provider for SMS Email

You do not need to add all, your receptionist can add them. You must add at least 1 main contact.
Knowledge Base
Title Category Body

Our employees are knowledgeable about your organization. To be knowledgeable we use a knowledge base. Please add as many of the important ones as you can think of. If you dont have time, no worries your receptionist can add them later.
Emergency Police Department City

What city police department services this location?
Police Department Phone
Click the link below to view the TERMS, SERVICE AGREEMENT, AND AUTHORIZATION TO AUTOMATICALLY WITHDWAW PAYMENTS.
Terms of Service, Service Agreement, and Authorization to Withdraw
Acceptance of All Terms and Agreement*
- I have read and accept the terms of service, rules and regulations, service agreement, and authorization to automatically withdraw payments.
Please Check Box to accept the terms of service, rules and regulations, authorization to withdraw payments, and service agreement.
Name
This field is for validation purposes and should be left unchanged.

First Name	Last Name	Mobile	Office	Extension	Cell Provider for SMS	Email

Title	Category	Body

Sign Up For Service

Click the link below to view the TERMS, SERVICE AGREEMENT, AND AUTHORIZATION TO AUTOMATICALLY WITHDWAW PAYMENTS.