Name:
Company:
Street:
City, State, Zip:
Voice Phone #:
You will be the owner of this MailBack
account and responsible for its content. The email address you list
below is how we will remain in contact you and the address from which
you can change the message of your MailBack service.
Email Address:
You can choose any descriptive name
for your MailBack account name. We recommend a eight character name
followed by a dash and then a descriptive term about the type of
informaton. For example, "company-catalog" would create an internet
address of
company-catalog@mailcall.com for providing your company's
catalog through a MailBack service.
Your MailCall account name:
Should we publicize this MailCall service? Yes or No.
Comments or special instructions:
When your MailBack account is set up, we will email you a notice and the instructions on how to place your message into your MailBack account.
_____ Yes, please establish a MailBack service for me for only $50. I understand that this includes the maintance for the first three months and I will be billed $25 every three months to maintain the account.
Credit Card Number:
Credit
Card Expiration:
Type: VISA or Mastercard
Name on the Card:
Signature:
This site designed by Ray Daly at ray.daly@mailcall.com.
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