Sign Up For Service Name* First Last Company Name Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands 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 PhoneServices Live Physical Video Receptionist or Security Professional Live Telephone Receptionist Level of Live Physical Video Receptionist/Security You Want.*Select One Minimum 150 HoursBronze $4.00 Per HourSilver $5.00 Per HourGold $6.00 Per HourI need help decidingPlease 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*Month to Month $399.006 Month Term $299.0012 Month Term $199.00This 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*Select Option, You can change at any time.Do Not SolicitAllow solicitor to reach intended visitorWhen 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 DirectionsPlease 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/SecurityAdditional 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 ReceptionistPayment Options*Select Payment OptionPay By Credit Card*Pay by Checking or Savings AccountPLEASE 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 HiddenCredit Card NumberHiddenCVV Number3 or 4 Digit number from your credit card.HiddenCredit Card Expiration Date MM slash DD slash YYYY HiddenBank Routing NumberHiddenBank Routing Number Confirmation Please Input the bank routing number again.HiddenBank Account NumberHiddenBank Account Number Confirmation Please input your bank account number again for Bank Account Number Confirmation.Office Campus MapMax. file size: 32 MB.Please upload your office campus map if you have one.Employees In Your OrganizationFirst NameLast NameMobileOfficeExtensionCell Provider for SMSEmail You do not need to add all, your receptionist can add them. You must add at least 1 main contact.Knowledge BaseTitleCategoryBody 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 PhoneClick 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.NameThis field is for validation purposes and should be left unchanged.