Interpage OutFax Fax Gateway E-mail to Fax/Fax Broadcast and FaxUnlimited Unlimited Send Fax Signup Form

Hello, and thank you for applying for service with us!

This form provides information on signing up for Interpage's outward fax gateway/E-Mail to Fax/Fax Broadcast (OutFax) service. Customers who wish to activate non-OutFax accounts (such as InFax, FaxUp, WebFaxPro, FaxBox, or specialized OutFax or other fax services iterated on the Fax Services or Fax Rates Pages, Messaging/Paging, Voice, or other non-faxing services), please go to the Generic Signup page for details and activation.

To activate an OutFax account, please print out the form below, or print out the PDF version of the form, complete it, and fax, scan, or postal mail it back to Interpage.

To establish a week-long trial-only account of the OutFax service, please obtain and complete an OutFax Trial Form.

For rapid activation, payment and billing may be arranged by credit card, and is required for Basic and/or Tier I accounts. Credit Card payment generally ensures that we can have most accounts set up within a business day, and often less. We gladly accept the American Express Card, Visa, Mastercard and Discover. A photocopy of both sides of the given credit card is required for activation; WE CAN NOT PROCESS AN APPLICATION WITHOUT A LEGIBLE COPY OF BOTH SIDES OF THE GIVEN CARD.

We also accept check payments from individuals or companies for Tier II or higher accounts (generally $50/month base rate before usage). Sorry, check payment is not available for accounts less than Tier II.

Companies and other applicants for Tier II (or higher) rate plans may apply with a Business Credit Application for postpay in conjunction with this service agreement. A copy of the Business Credit Application may be found on our WWW Form Server; please log in as guest (lower case) and do not use a password.

For immediate sign-up with a credit card, please fill out the form below and fax it back to us at +1 (650) 292-1600, scan it and e-mail it to scan-form@interpage.net, or postal mail it to the address below. Please fill out all applicable items, and select the OutFax plan desired. For example, to sign up for the $50 per month OutFax plan at 2 cents per minute domestic, check the "OutFax/008" plan. If the OutFax plan in which you are interested is not itemized, please fill in the plan on the line captioned "Other OutFax Plan".

If you aren't sure what lines to fill out, or would like additional information, please give us a call at +1 (650) 331-3900 during Pacific Business hours, or send us a message using our Support/Inquiry Submission Page

At the very minimum, we require your name, address, phone number to reach you at, Business Credit Application/BCA (for check payment if not paying any applicable fees in advance), credit card #, expiration date, security code, signature, and photocopy/imprint of the card (credit card), valid student ID (Educational Discount), and all sign-ups require a signature indicating that you agree to abide by our terms of service.

Our Terms of Service may be reviewed on Interpage's Terms of Service and Policies page, or via telnet access by logging in to interpage.net as a guest without using a password.

If you do not have access to a fax or scanner, you may mail your application to:

       Interpage NSI
       Mail Stop 2001, Attn: Activations, Building #2
       Box 4022
       Hartford, CT
       06147
       USA

If you intend to pay by check (Tier II and higher accounts) and are not applying in conjunction with a Business Credit Application, please contact Interpage at +1 (510) 315-2750 during Pacific Business hours so we can assign a start date for your account and calculate the first month's fees. You may then print out this page (or the PDF), and mail it to us with your payment to be received no later than the assigned start of service date. We will then activate your account a few days after we receive the check and completed form from you.

If you intend to pay by check (Tier II and higher accounts), and will furnish a Business Credit Application, please print out this form (or the PDF) and fax or mail the completed forms back to Interpage. We will notify you after we have verified credit and have activated your account.

If you have any questions about signing up, or other questions about our service, please use our Support/Inquiry Submission Page, or call +1 (650) 331-3900. Our fax number is +1 (650) 292-1600. (An alternate fax of +1 (617) 850-0420 is also available.)

Thank you for your interest in Interpage!

INTERPAGE OUTFAX ACTIVATION FORM

       Address:.................................................................................

       City, State, Zip:.......................................................................

       Day voice phone:.....................................................................

       Evening voice phone:...............................................................

       Cellphone:..............................................................................

       Fax phone:.............................................................................

       Email:....................................................................................

The user ID will be your email address, e.g., myid@interpage.net. (If the ID you select is currently in use on our system, we will try to find something close to it. Feel free to include second and third choices.)

       Preferred user ID:...................................................................

Please select a rate plan:

___Rate Plan 001 / $10 per month, $10 one-time set up, $.10 per min US
___Rate Plan 008 / $50 per month, $50 one-time set-up, $.02 per min US
___Rate Plan 006 / $250 per month, $250 one-time set-up, unlimited US
___Rate Plan 007/ Corporate-Enterprise Unlimited: $795 per month, $250
     one-time set-up, unlimited faxing within regions of the US, dedicated
     and guaranteed capacity, 6 month minimum commitment
___Other Rate Plan:__________________________________________________

Note: "US" refers to the 50 US States and Wasgington, DC. Please consult the OutFax Canada and International Fax Rates section of the Interpage OutFax rates page for details on OutFax pricing to locations outside of the US.

If this is a new activation and/or change of credit card billing, please read this statement and sign it. (Signature is required for service.)

I am aware of and fully understand all of Interpage's policies concerning my service with Interpage Network Services Inc. (INSI). I agree to abide by these policies, and understand that willful, negligent, or flagrant disregard for the policies set forth in the policy statement, or any other behavior which unreasonably compromises the stability, security, or operability of the Interpage system, will constitute sufficient grounds for immediate suspension and/or termination of service, at the sole discretion of INSI. I hereby waive all claims which I may assert against Interpage for service disruptions, outages, and difficulties, and understand and agree that I will not hold Interpage responsible for any losses, financial or otherwise, which I may experience as a result of a service difficulties.

I agree that if my account includes a contract service period (generally but not limited to a period of time during which I am required to maintain an account with Interpage) that I will make all payments up to and including the final payment of my contract term.

I agree that should I wish to cancel service I shall notifiy Interpage of my desire to do so in writing and that e-mail cancellations or concomitant correspondence will not be accepted. I understand that all cancellations will take place on the last day of a given billing cycle and that Interpage does not offer prorated cancellations.

I further agree that if paying by credit card that I will uphold the terms of my credit card agreement.

Please enclose a legible photocopy of both sides of your credit card.
Thank you! (Required for activation)

      Credit Card Number:.................................................................

      Exp. Date:................... Credit Card Security Code:......................

      Printed Name:..........................................................................

      Date:................. Signature:......................................................

To download this activation form in Adobe Acrobat (PDF) format click here.

Mailing Address:

    Interpage Network Services, Inc.
    Mail Stop 2001 Attn: Activations, Building #2
    Box 4022
    Hartford, CT 06147

Fax Signup: +1 (650) 292-1600, alternate: (617) 850-0420.

E-Mail scanned form to: scan-form@interpage.net

A copy of the Interpage Policy statement can be found on our Web form server, by telnet with a "guest" login, or a copy may be sent to you via e-mail or regular mail upon request.

For additional information, you may Return to the Interpage Home Page or contact us via email, postal mail, telephone or fax.

Rev 0057/2006, (c)INSI
Last modified 11/24/2014