Total Recall Message Center, Inc.

Telephone Answering Service Contract


To begin the process of applying for Live Telephone Answering Service, please answer the following questions.

Your attention to detail at this stage will result in much more efficient and effective service.  We need specific information regarding your needs and expectations.  Complete, well-thought-out answers will help Total Recall® to personalize the service for your specific requirements.  Please note that some answers are REQUIRED in order to establish service.

Subscriber Name Company or Person)
Contact Person (Owner or Manager)
Physical Address, City, State, ZIP Code
Billing Address, City, State, ZIP Code
E-mail Address of Contact Person
Business Federal Tax ID (EIN) (or Social Security Number for individuals or sole proprietorships)
Main Published Phone Number (including Area Code)
Secondary Phone Number or Toll-Free Number
Private ("inside") Phone Number
FAX Telephone Number
Type of Business, including Product Line (if applicable)
How did you hear about  Total Recall®?
Please give details on how you heard of us:
Date you would like service to begin
How will the calls be directed to Total Recall®?
Will you be using a Toll-Free Number? Yes -- provided by Total Recall®
Yes -- we already have one
Not at this time
Should Total Recall® accept COLLECT calls? Yes No
What words should we use to answer the phone?
(60 character limit)
Please list your
Office Hours		 Mon 
Tues 
Weds 
Thurs 
Fri 
Sat 
Sun 
Hrs by APPOINTMENT ONLY?
Please describe what you would consider to be types of "Routine Calls" that we might received on your line. 
(NOTE:  If more than 50% of your calls will be ORDERS, your account may be subject to Order-Taking rules, regulations and rates.)

 
What types of information are we expected to try to obtain from the caller?

Please remember that this list should be kept to an absolute MINIMUM, in order to control your costs for Answering Service

 Caller Name
Company
Address (Street)
City
State, ZIP Code
Phone Number
E-mail Address
Message
Work or alternate Phone Number
Best time to return call
Is this an Emergency?
Do you need to speak with someone before the next business day?
(If using ALPHA Pagers) Advise caller to CALL BACK if call is not returned in 15 minutes OR
(If using ALPHA Pagers) Advise caller to CALL BACK if call is not returned in 30 minutes
Standard Medical Account and Consult information list.
Standard Funeral Home & Death Call information list.
OTHER -- Please SPECIFY:
How should "ROUTINE" messages be delivered?
Time(s) or other Detail:
Please describe any "Special Conditions" for message delivery (such as RESTRICTED DELIVERY to specific persons, PASSWORDS which must be given to operators, etc.)
Please describe an "EMERGENCY" or "URGENT" call, which Total Recall®should attempt to relay as soon as possible: There will be NO Emergency/urgent calls
Threat to life or property
Injury or death
If caller states it is an "emergency"
Caller needs to speak with someone before next business day.
OTHER -- Please BE SPECIFIC

Procedure for dispatch of Emergency or Urgent calls:
Check here if NO EMERGENCY RELAY is required or necessary.
There should be at LEAST 3-5 steps in your Emergency Relay Procedure
Step 1
(Name or #)
If no answer, caller calls back (or no response to page after ), Step 2
(Name or #)
If no answer, caller calls back (or no response to page after ), Step 3
(Name or #)
If no answer, caller calls back (or no response to page after ), Step 4
(Name or #)
If no answer, caller calls back (or no response to page after ), Step 5
(Name or #)
If no answer, caller calls back (or no response to page after ), Step 6
(Name or #)
If no answer, caller calls back (or no response to page after ), Step 7
(Name or #)
If no answer, caller calls back (or no response to page after ), Step 8
(Name or #)
If no answer, caller calls back (or no response to page after ), Step 9
(Name or #)
If no answer, caller calls back (or no response to page after ), Step 10
(Name or #)
Should EMERGENCY calls be RE-DELIVERED with your "Routine" message delivery procedure? (May incur additional charge*)
Is a DIRECTORY required?
A Directory is generally required if the list of Emergency Personnel exceeds TEN, OR if Total Recall® isexpected to provide information to a caller from (or take orders for) a list of TEN or more items   A Directory may incur a setup or monthly maintenance charge*.
How shall we handle PERSONAL CALLS?
On-Call information will be updated
On-Call information will be provided to Total Recall® by
Will you require Mail Receiving Service?
Mailing addresses available at all of our office locations.		 Yes No
If YES, how shall we process mail which is received?
PERSONNEL ROSTER INFORMATION
Please use the following sections to provide a COMPLETE LIST of all Managers, Supervisors and On-Call individuals, their areas of Specialty, and contact information.   Please list these individuals in the ORDER IN WHICH THEY SHOULD BE CONTACTED IN AN EMERGENCY, should the designated On-Call individual(s) not be reachable.
Person Number 1 Name
Position/Title
Home Phone (with Area Code)
Pager Number (with Area Code)
Pager Type
Mobile/Cellular or Alternate Phone #
Person Number 2 Name
Position/Title
Home Phone (with Area Code)
Pager Number (with Area Code)
Pager Type
Mobile/Cellular or Alternate Phone #
Person Number 3 Name
Position/Title
Home Phone (with Area Code)
Pager Number (with Area Code)
Pager Type
Mobile/Cellular or Alternate Phone #
Person Number 4 Name
Position/Title
Home Phone (with Area Code)
Pager Number (with Area Code)
Pager Type
Mobile/Cellular or Alternate Phone #
Person Number 5 Name
Position/Title
Home Phone (with Area Code)
Pager Number (with Area Code)
Pager Type
Mobile/Cellular or Alternate Phone #
Person Number 6 Name
Position/Title
Home Phone (with Area Code)
Pager Number (with Area Code)
Pager Type
Mobile/Cellular or Alternate Phone #
Person Number 7 Name
Position/Title
Home Phone (with Area Code)
Pager Number (with Area Code)
Pager Type
Mobile/Cellular or Alternate Phone #
Person Number 8 Name
Position/Title
Home Phone (with Area Code)
Pager Number (with Area Code)
Pager Type
Mobile/Cellular or Alternate Phone #
Person Number 9 Name
Position/Title
Home Phone (with Area Code)
Pager Number (with Area Code)
Pager Type
Mobile/Cellular or Alternate Phone #
Person Number 10 Name
Position/Title
Home Phone (with Area Code)
Pager Number (with Area Code)
Pager Type
Mobile/Cellular or Alternate Phone #
For personnel rosters larger than 10, please submit information in writing or by Fax
to your Communications Consultant

IMPORTANT
By initiating or subscribing to and using the services of Total Recall®, you agree to the TERMS AND CONDITIONS as outlined on the
Service Policies, Supplemental Charges and Terms and Conditions Page.
PLEASE REVIEW THIS INFORMATION before submitting your application,
and click to place a CHECK MARK IN THE BOX below.

*Please refer to the Terms and Conditions statement of speak with your Communications Consultant
regarding additional charges for these services.

IMPORTANT:  Messages will be retained in Total Recall® files
for 60 days and then destroyed.

Please NOTE that Total Recall® needs the information on this form
prior to commencement of service.

Procedures proposed by Subscriber are SUBJECT TO ACCEPTANCE by
Total Recall®

I have read and understand the TERMS AND CONDITIONS and SERVICE POLICIES.
I understand that by initiating or subscribing to and using the services of Total Recall®, Inc., 
I agree to be bound by these provisions.
I further understand that for service to continue, I must PRINT OUT, SIGN and MAIL or FAX 
a signed copy of this Service Application to the Total Recall®, Inc Office to be received not more than TEN DAYS from the date I submit this application on-line.
[Addresses and Fax Numbers are on the Home Page]

SIGNATURE ______________________________   Date _______________
Please PRINT name _________________________________________

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