Exucom ONE combines cloud fax, secure delivery, and AI-driven document processing into one platform—eliminating the need for multiple systems and streamlining how your business handles documents from intake to completion.
Included Products
STANDARD PLAN INFORMATION
ADD-ON SERVICES PRICING
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ORDER FORM
1. COMPANY INFORMATION
Company Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Address
Street Address
Street Address Line 2
City, State, Zip
State / Province
Postal / Zip Code
ACCOUNT TYPE
*
I AM SETTING UP A NEW ACCOUNT
UPGRADING AN EXISTING ACCOUNT
ACTIVATING AN EVALUATION ACCOUNT
Account Number
*
Please enter full number (Example: EFAX-000-0000 or FFC-XXXXX)
Name
Name
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Contract Information
Contract Term
Minimum Monthly Commitment
*
Contract Start Date
/
Month
/
Day
Year
Contract Start Date defaults to the Current Date
PRODUCTS
Products you would like to setup and utilize immediately (select all that apply)
*
etherFAX DirectFAX (includes Email, Teams)
etherFAX for Lexmark
etherFAX ERIS
FaxFinder Cloud
etherFAX for Fax Server/API
Weave Flow
Account & Order Information
ACCOUNT ADMINISTRATOR
BILLING CONTACT
Name
*
Admin First Name
Admin Last Name
Name
*
AP First Name
AP Last Name
Account Administrator Email
*
example@example.com
Email address for Invoice(s)
*
example@example.com
Phone
*
Format: (000) 000-0000.
Phone
Format: (000) 000-0000.
ADDITIONAL CONTRACT NOTES
CONTRACT NOTES
PO UPLOAD(if applicable)
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PO NUMBER TO REFERENCE ON INVOICES
Do you have separately agreed upon terms?
*
No
Yes
Upload Agreed Terms
*
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Must be countersigned PDF
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Signature(s)
Company Name
*
Authorized Signer Name
*
Authorized Signer Title
*
Signature
*
Date
/
Month
/
Day
Year
Date
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