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                     FOR MSTGS OFFICIAL USE ONLY:     DATE RECEIVED: _ _-_ _-_ _
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MSTG SOLUTIONS                                      VOICEMAIL SERVICE ORDER FORM
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          3111 NORTH TUSTIN STREET, SUITE 280, ORANGE, CALIFORNIA 92865
                 Telephone: 714-279-2980 Facsimile: 714-282-0035
               E-Mail: repsupport@mstgs.com Website: www.mstgs.com

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                          REQUIRED CUSTOMER INFORMATION
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Last Name:                    Middle Initial:          First Name:
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Company: (if applicable)               E-Mail Address:
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Street Address:
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City:                State:       Zip/Postal Code:         Country:
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Telephone No.:               Fax No.:                   Mobile No.:
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          INDEPENDENT REPRESENTATIVE INFORMATION - SERVICE(S) SOLD BY:
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QUANTITY

_____ VOICEMAIL SERVICE - $30.00 SETUP, FULL YEAR'S SERVICE
     o    Answering Service for an individual or a business
     o    Check messages 24 hours a day, 7 days a week

_____ 800 NUMBER VOICEMAIL SERVICE - FREE SETUP, $16.95 MONTHLY
     o    All of the  benefits of the  Voicemail  Service plus a toll free 1-800
          number

TOTAL AMOUNT TO BE CHARGED:       SETUP $__ __.__ __      MONTHLY $__ __.__ __
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             METHOD OF PAYMENT (PLEASE CHECK THE APPROPRIATE SPACE)
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___ CHECK or MONEY ORDER (please make checks payable to MSTG SOLUTIONS, INC.)
___ CREDIT CARD (please check one)
     ___ VISA
     ___ MASTERCARD
     ___ AMERICAN EXPRESS
     ___ DISCOVER
                             CREDIT CARD INFORMATION
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Credit Card Number:        Expiration Date:    Billing Telephone Number:
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Name on Credit Card:                   Exact Billing Address:
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City:                State:       Zip/Postal Code:         Country:
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                                        I  authorize  MSTG  Solutions,  Inc.  to
                                        charge  my  debit /  credit  card for an
                                        amount no greater than the "Total Amount
                                        to Be Charged" indicated above.


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                                        ACCOUNT HOLDER SIGNATURE
       CREDIT CARD IMPRINT SPACE:
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                    TERMS, CONDITIONS AND CANCELLATION POLICY
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I hereby accept these terms and conditions. The Voicemail Service setup fee is a
non-refundable,  one-time charge and continuance is not automatic. I must submit
an extension using the same form to MSTG Solutions,  Inc., within 30 days before
the date this  form is  submitted  in the  following  year in order to  continue
service.  I also understand that the 800 Number Voicemail Service is billed once
every  month  automatically.  If I choose to  cancel  the 800  Number  Voicemail
Service, I must submit a signed request, in writing, with a 30-day notice.


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PRINT NAME                    CUSTOMER SIGNATURE                    DATE

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