Email Request Form
We appreciate the opportunity to provide an additional email address. By filling out and submitting the following form your new email account will be established within 10 working days. Unless you are requesting additional addresses available on a premium or commercial account, an additional $5.00 will be added to your monthly billing. If you do not already have an account with us, we will begin billing you on the first of next month.

Please be aware that upon submittal this form will be emailed to clearcall.net and a confirmation email will be copied to your current email address. Upon setting up the new address we will mail notification to your new address. Fields marked with * are required fields.

1.


Please tell us who you are and where you are from:

Your Name:  *
Company:
Street Address: 
City: 
State: 
Zip Code: 
Phone:  *
Fax Number: 
Existing Email Address:  *
 
2. What email address would you like us to register?
Your email address can be any word followed with "@clearcall.net".
*
3. How do you want us to process your email address?
We can set up your email address so that all messages sent to it would be forwarded to your existing email address, or we can set this email address up as a totally independent address. This would mean that you should set up more than one different email addresses in your software, and that you would need to check more than one email address each day.
Forward    Independent *
 
4. Any additional information or questions can be entered here.