ProBeep Motorola BR 850 Order Form

To order a pager, please fill out the form below. If you experience any difficulties using this form, or to order by phone, please call us at 1-212-889-8882

Please provide the following contact information:

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UNLIMITED BEEPS

First name

Last name

Organization

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Work Phone

Home Phone

E-mail

Please select a pager from the list below:

Pager Type

Please select a color from the list below:

Pager Color

Please select a type of service from the list below:

Service Type

Please select any optional services if desired:

Optional Services

Please provide the following ordering information:

BILLING

Credit card

Cardholder name

Card number

Expiration date

SHIPPING (If different from above)

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Comments:

you must click here to make your payment

TERMS AND CONDITIONS
This is an agreement between you (hereinafter referred to as "CUSTOMER"), and ProBeep Communications. (hereinafter referred to as "The COMPANY") to provide you with digital and/or alphanumeric paging services (hereinafter referred to as "SERVICE") as shown on the reverse side.Numeric pagers are UNLIMITED!

Do you agree to the terms and conditions as outlined above:

You must accept the terms and conditions for your order to be proccessed. Selecting "I agree" is the electronic equivalent to signing your name.