

Hello,
and thank you for applying for service with us!
This form provides information to activate a week-long free trial for Interpage's Fax by E-Mail (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, OutVoice, Paging, Voice, or other non-faxing services), please go to the Generic Signup page for details and activation.
To activate Free Trial OutFax account, please print out the form below, fill out all the indicated fields (clearly writing your e-mail address), sign it, and fax it back to +1 (650) 292-1600.
Upon receipt, we will activate a trial account, and send you written confirmation and usage instructions via e-mail.
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 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 TRIAL ACTIVATION FORM
Address:.................................................................................
City, State, Zip:.......................................................................
Day voice phone:.....................................................................
Evening voice phone:...............................................................
Pager for us to reach you at:....................................................
Fax phone:.............................................................................
Email for us to reach you at:.....................................................
RATEPLAN: Free OutFax Trial 00FT
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. (Signature is required for activation of the free trial account)
Printed Name:..........................................................................
Date:................. Signature:......................................................
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 (please specify "Trial Activations" on your cover sheet
to all faxes sent to the 617 fax number).
A copy of the Interpage Policy statement can be found on our WWW
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 0062/2007,
(c)INSI
Last modified 01/05/2007