on-line signup

	Step 1 of 5
A. Account Information
First Name	Last Name	M.I.
Number & Street	Address Line 2
City	Prov/State	Post/Zip
Current Phone No.
E-mail address	Retype E-mail address	Order confirmation will be sent to this address!
Coupon Number Valid promotion coupon
Sponsor User ID If no sponsor, enter 00000000.
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Step 2 of 5
B. 911 Service
I will only use my XLVOX™ service from the address I stated. Why is this important? I will use my XLVOX™ service when I travel.
C. Telephone Number Transfer
I wish to transfer my existing home phone number to XLVOX service. ( Check if your number can be migrated): For phone number migrations, do not contact your current local telephone company! Why is this important? There is a $20 charge for telephone transfer. Current Phone Company
I wish to get a new phone number to XLVOX service in area code ( Check for available area codes).
D. High Speed Internet Service Provider
High Speed Internet Service Provider
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Step 3 of 5

E. Charges

Service Plan

Contract
Equipment Options
Buy XLVOX ($79.95) one time Rent XLVOX ($3.95) monthly I will get my own ($0)

Do not ship. Product will be picked up.

I want to sign up as a XLVOX Sales Associate. I have read and agree to Sales Associate Terms.

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Step 4 of 5

F. Billing Information

Enter Credit Card Information:	Credit Card Type
First Name on Credit Card	Last Name on Credit Card
Credit Card Number	Expiry Date (MMYY)
You authorize XLVOX, as stated in the Terms of Service, to automatically charge your credit card on a monthly basis for services provided to you in the amount described in the Service Plan you selected.

Billing Address Same as in Account Information
Number & Street	Address Line 2
City	Prov/State	Post/Zip

Shipping Address Same as in Account Information
Number & Street	Address Line 2
City	Prov/State	Post/Zip

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Step 5 of 5

G. Order Summary

Service Plan

Contract
Equipment Options
Buy XLVOX ($79.95) one time Rent XLVOX ($3.95) monthly I will get my own ($0)

H. Confirmation

I agree to the XLVOX Service and Calling Plan as
described in the Terms of Service.

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