Order Primus On Demand
 
Thank you for you interest in Primus Conferencing. To sign-up for our On Demand conferencing service, please complete the form below. * Are required fields.

Please click here if you need to use the service within 24 hours
  COMPANY INFORMATION
Company Name*: Accounts Payable Contact:
Billing Address (line 1)*: Billing Address (line 2):
City*: State*:
Zip Code*: Country: USA/Canada
  SCHEDULER 1 INFORMATION
Scheduler/User Name*: Last Name*:
Job Title*: Telephone*:
Fax: Email Address*:
Complete only if different than the billing address:
Mailing Address (line 1): Mailing Address (line 2):
City: State:
Zip Code: Country: USA/Canada
Comments/Specific Instructions:

Account Billing code Activation Yes No
  ACCOUNT INFORMATION
Are you an existing Primus customer?
If you are an existing Primus customer, please enter your account number:
How did you hear about Primus?
Agent Name:
Agent Rep Number:


 
  ADDITIONAL SCHEDULER INFORMATION
Please specify up to four additional schedulers for this account.
  SCHEDULER 2 INFORMATION
Scheduler/User Name*: Last Name*:
Job Title*: Telephone*:
Fax: Email Address*:
Complete only if different than the billing address:
Mailing Address (line 1): Mailing Address (line 2):
City: State:
Zip Code: Country: USA/Canada
Comments/Specific Instructions:

Account Billing code Activation Yes No

  SCHEDULER 3 INFORMATION
Scheduler/User Name*: Last Name*:
Job Title*: Telephone*:
Fax: Email Address*:
Complete only if different than the billing address:
Mailing Address (line 1): Mailing Address (line 2):
City: State:
Zip Code: Country: USA/Canada
Comments/Specific Instructions:

Account Billing code Activation Yes No
  SCHEDULER 4 INFORMATION
Scheduler/User Name*: Last Name*:
Job Title*: Telephone*:
Fax: Email Address*:
Complete only if different than the billing address:
Mailing Address (line 1): Mailing Address (line 2):
City: State:
Zip Code: Country: USA/Canada
Comments/Specific Instructions:

Account Billing code Activation Yes No
  SCHEDULER 5 INFORMATION
Scheduler/User Name*: Last Name*:
Job Title*: Telephone*:
Fax: Email Address*:
Complete only if different than the billing address:
Mailing Address (line 1): Mailing Address (line 2):
City: State:
Zip Code: Country: USA/Canada
Comments/Specific Instructions:

Account Billing code Activation Yes No