Metropark Voice Exchange Sign-up

MPVEX Unified Communications System, Phones, and Lines - Everything Included!!!

Business Legal Name:*
Business Address:*
Business Phone:*
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Federal Tax ID:
Business Started:
# of Employees:
Industry Type / NAICS:
Legal Status:

Authorized Signor

The principle owner or authorized signor may need to provide additional information as needed for approval.

Name:
Contact Email:

MPVEX Unified Communications

The system parts list and other solution line items will be listed on the Ascentium 24 month agreement which will be available upon approval of this signup form.  The MRC below does not include taxes or surcharges as assessed by FCC or other tax authorities as well as other overages or not listed usages.  These charges will be added to each monthly Invoice.

System Description:
Monthly Recurring Cost:*
Word Verification:

NOTICE: IF YOUR APPLICATION FOR BUSINESS CREDIT IS DENIED, YOU HAVE THE RIGHT TO A WRITTEN STATEMENT OF THE SPECIFIC REASONS FOR THE DENIAL. TO OBTAIN THE STATEMENT, PLEASE CONTACT THE LESSOR NAMED HEREIN WITHIN 60 DAYS FROM THE DATE YOU ARE NOTIFIED OF OUR DECISION. WE WILL SEND YOU A WRITTEN STATEMENT OF REASONS FOR THE DENIAL WITHIN 30 DAYS OF RECEIVING YOUR REQUEST FOR THE STATEMENT.

THE FEDERAL EQUAL CREDIT OPPORTUNITY ACT PROHIBITS CREDITORS FROM DISCRIMINATING AGAINST CREDIT APPLICANTS ON THE BASIS OF RACE, COLOR, RELIGION, NATIONAL ORIGIN, SEX, MARITAL STATUS, AGE (PROVIDED THE APPLICANT HAS THE CAPACITY TO ENTER INTO A BINDING CONTRACT); BECAUSE ALL OR PART OF THE APPLICANT’S INCOME DERIVES FROM ANY PUBLIC ASSISTANCE PROGRAM; OR BECAUSE THE APPLICANT HAS IN GOOD FAITH EXERCISED ANY RIGHT UNDER THE CONSUMER CREDIT PROTECTION ACT. THE FEDERAL AGENCY THAT ADMINISTERS COMPLIANCE WITH THIS LAW CONCERNING THIS CREDITOR IS FEDERAL TRADE COMMISSION, ECOA COMPLIANCE, WASHINGTON, DC 20581.

GUARANTOR INFORMATION REQUESTED FOR ALL CORPORATIONS IN BUSINESS LESS THAN TWO YEARS,AND ALL PARTNERSHIPS, PROPRIETORS, PROFESSIONALS AND SERVICE RELATED BUSINESSES.