(no title)
(no title)
(no title)
(no title)
(no title)
(no title)
(no title)
(no title)
(no title)
(no title)
(no title)
(no title)
(no title)
(no title)
(no title)
(no title)
(no title)
(no title)
(no title)
(no title)
(no title)
(no title)
(no title)
(no title)
(no title)
Account Setup Form
Account Setup Form
Customer Survey
Developer Signup
Fax Deliverability Issue
Perry Pro Tech Setup Form
Prospect Form
Ricoh Account Setup
Send a fax!
Submit your hours for customer billing
Test Account Setup
Thank You
Welcome to WestFax
WestFax Secure Cloud Fax
Whistle-Blower
Company Information
Account # (if applicable)
Account Name
Account Admin
First
Last
Company Phone #
Company fax #
Admin Email
Billing Information
Accounts Payable Contact
First
Last
Company Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Sales Rep
Barry
Char
Christina
Deanna
Doug
Ted
Volume Estimate
In/out total
Product Type
Broadcast
Fax to Email
API Customer
Yes
No
Yes, Mixed
Plan
*
Fax Basic Trial (8.99)
Fax 1500 (29.95)
Fax 3k (59.95)
Fax 5k ($89.95)
Fax CSTM
HIPAA Basic (14.99)
HIPAA 1500 (39.95)
HIPAA 2500 (49.95)
HIPAA 5000 (89.95)
HIPAA 10K (174.95)
HIPAA 20K (349.95)
HIPAA CSTM
DEV CSTM
DEV TRIAL (3.99)
Charge (Monthly Base Fee)
Frequency
Volume Included in Monthly Fee
Outbound Overage
Inbound Overage
Shared Pages
Yes
No
Porting Fee
Line Fee
Setup Fee
API Fee
Billing Start Date
MM slash DD slash YYYY
Additional Plan Details
Internal Notes for Account
Accounting Phone
Accounting Fax
General Accounting Email
Invoice Recipient
Additional Invoice Recipients
Yes
No
Additional Invoice Emails
Name
Email
Terms
Payment Method
Credit Card
Invoice
ACH
Auto Payment Collection
Yes
User / Fax Forward detail
Setup Users ahead of time?
No (Customer will manage)
Yes
Account Users
Product or Account
Access Level
Name
Email Address
Actual Users and permissions
Any additional Notes or Setup instructions
Documents
Here is where you will find attachments. (BAA, Contracts, etc…)
Documents
Drop files here or
Select files
Max. file size: 400 MB.