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Callback Service Application
If you like to pay by credit-card or Withdrawal(only Germany), please proceed to our secure SSL-Service!

Please complete the following form thoroughly and submit it, or your can choose to fax it to:
Germany +49 89-2443-15349
USA +1-240-208-8009
Dominican Republic +1-809-242-5088
In the next
24 hours you will receive your Access Numbers (DIDs).

Mr/Mrs:
Title:
Name:
First Name:
Company:
Zusatz:
Address:
City:
Postal Code/Zip:
Country:
Phone:
Fax:
Email:


Callback Service Information

Please enter the telephone number(s) you like to assign as your callback numbers, do not forget your fax, Cellular and modem numbers.

Correspondence-Language for the correspondence between You and the Abacus-Callback-Team: 
Payment: For each callback-number you need to pay a deposit (by credit-card, bank-deposit or withdrawal). Your Deposit must be as much as you need for your calls in a month on this phone-umber.
On the end of month you will see how much you have used from your deposit. This amount you must pay to have the full deposit for the next month.

 
Phone Prompt language Authority PIN Deposit
1:   US$/mtl
2:  US$/mtl
3:  US$/mtl


Callback Explications:

Voice prompt language:This is the language for all automatic informations on the phone
Authority:This is a 4-digit number (do not start with 0) that will allow you to change your callback-number and see all your call-details in the internet.
PIN: This is a 4-digit number (do not start with 0) that will allow you secure your callback-phone for unauthorized people with which you share your phone. Do use this only if you need it, there are some more entrys on each call. PIN and Authority can be the same.
Deposit: Fill in the amount in US$ that you will need in a month for this number for all the callback-calls on this number



Payment Information

Credit-card Withdrawal (only Germany) Bank-deposit/draft (only USA, Germany and Dominican Republic) Wire Transfer (To USA)
Deposit US$   This deposit is the anticipated monthly spending of all your phone-numbers. Your credit-card or bank-account will be charged with this amount or you have to transferit or to make a bank-deposit

Informations about wire-transfer please request by email!

Credit-card information:
Credit-card number:
Name on the card:
Valid untill (MM/JJ):
   
Account-information by withdrawal
Account-number:
Name of Depositors:
Bank-code-number:
Name of the bank:


AUTHORIZATION:
By submitting this form I hereby request telecommunications services from Abacus International Corp. "Abacus". I authorize Abacus to charge my Credit Card or my bank-account indicated above for all obligations contracted from the services ordered. I hereby agree to accept sole liability for the payment of all charges of Abacus services regardless of whether access permission was granted by myself. Abacus reserves the right to refuse service. I hereby agree that Abacus will not be held responsible for any losses or damages as a result of problems with the service rendered. This authorization is to remain in effect until Abacus receives written notification from the undersigned to cancel this authority.
 

Authorized Signature: _______________________   Date: (mm/dd/yy) 


 


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