Deposition Conference Call Service Request

PARTICIPANT BILLING REQUEST

THIS FORM IS TO BE USED BY PARTICIPANTS IN A
DEPOSITION CONFERENCE CALL TO ENABLE BILLING
AND DOCUMENT CLIENT TIME ALLOCATIONS

Please complete all required items and click submit

NOTE: Click Submit once to send your Information

1) During normal business hours our customer service department will
call within 90 minutes to verbally confirm receipt of your billing request. Credit card billing information will then be taken if you choose this option to be billed.

2) Please remember, you will only be billed when a deposition takes place using your account numbers and only for those minutes used by your account.

All Items marked * must be completed - Leave others blank if not applicable
Note - All items marked * must be completed

Law Firm or Company Account Name *
Account Billing Street Address *
City *
State or Province *
Zip or Postal Code *

Billing Contact First & Last Name *
Billing Contact Telephone# *
Billing e-mail address *

Please insert any comments or Special Needs
Billing Request * We will call for any additional needed billing information	(A) Bill to Credit Card Yes OR (B) Set up Net 30 day billing Yes

TERMS AND CONDITIONS:

I hereby certify that the above information is true and correct and A+ Conferencing has my permission to use this information for credit checking purposes. If credit is extended to me, I agree to pay my invoices promptly within the terms stated on the invoice. A+ Conferencing will charge a 5% surcharge/USF recovery fee to all invoices. If I default in meeting these conditions, I understand that A+ can place my account on a credit hold status, which means my company cannot use any more A+ services until payments are made to restore my account. I am responsible for all usage of my pin codes, therefore I will keep the codes confidential to prevent any unauthorized usage.

If I do suspect any unauthorized usage, I will report it to Customer Service immediately at 888-239-3969. A+ Conferencing reserves the right to change conference numbers if necessary for operational purposes. If at any time I wish to cancel my account, I will send the request in writing to cancellations@nwpros.com.

I have read the terms and conditions *

Yes

Name *

Please complete all items marked * before submitting

Submit only once - We normally verify submission within 2 business hours

Copyright 2002 -- All rights reserved

Suggested Links
Conferencing services Solutions - Conference call services - Conferencing services – Teleconferencing services
Teleconferencing calls service - Conferencing in Mexico - Teleconferencing Canada