Poldav,Inc.: cell phone plan - cellular services - Company - discount calling cards - mobile - mobile phones

This is only one Form as simple as universal, for all our services that we offer:
Long Distance, Toll Free Service, Dial-Up Service, Pc-To-Phone, Business T1, Calling Cards and Global Access Callback Services.

Upon submitting this application you will be contacted by our representative to finalize details that best suits your needs.

Thank you again!
We will call you back shortly...

Contact Information
Company Name (optional):
First Name:		Last Name:
Date of Birth:	(mm-dd-yyyy)	Email:
Name of old carrier:		Daytime Contact Number:
SERVICE:
(Note: If this is a customer referral please enter the referral phone number. Optional)


Physical Address
Address:
City:	State:	Zip:


Mailing Address (if different from above)
Address:
City:	State:	Zip:

The default method of payment will be by Check or Money Order. If you would like to change your method of payment to Credit Card please call 1-617-320-4787.

You will receive your first invoice on paper. After you receive your 1st invoice you may sign up for online invoicing through our website at www.poldav.com. The $3.00 admin fee will be waived after you sign up for this online billing service.