DEPOSITION CONFERENCE CALLS - DEPOSITION CONFERENCING CALLING SERVICES

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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) If you have chosen credit card billing someone from our customer service department will call to verbally confirm receipt of your billing request and to obtain your credit card information.

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. I agree to pay the invoice in its entirety including all taxes and fees associated. 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 on my account. 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. A+ Conferencing reserves the right to change conference numbers if necessary for operational purposes. For a list of additional terms & conditions, please visit www.aplusconferencing.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

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