Warning: preg_match(): Unknown modifier 't' in /var/www/html/wp-content/plugins/mobile-website-builder-for-wordpress-by-dudamobile/dudamobile.php on line 609
On Call Central Signup | On Call Central
On Call Central

On Call Central Standard Services Agreement


I am an authorized signer for .

I agree to the rate of $100.00/account every four weeks, which includes one provider. I understand that each additional provider within the account will be billed at a rate of $50 every four weeks. Additionally, I agree to a one time setup fee of $50/provider. We do not bill for administrators and staff members who do not take call. I have reviewed and accept the On Call Central service agreement and privacy policy

I have  provider(s) who will use On Call Central.

Note: We try to launch new accounts on Monday, Tuesday and Wednesday, so as to avoid new client launches headed into the weekend. I would like my On Call Central service to start on

The preferred area code for my On Call Central phone number is

I prefer to pay by 

 

Your Billing Address

 

If Paying By Credit Card

/  

 

If Paying By ACH

 

Leave this empty:

Signature Certificate
Document name: On Call Central Standard Services Agreement
Unique Document ID: a4587e4ecfc72e1aadd8c9560f490e408936f2c7
Timestamp Audit
2016-04-04 14:38:30 EDTOn Call Central Standard Services Agreement Uploaded by Sidney VanNess VanNess - sidney@oncallcentral.com IP 72.49.205.101