Please fill out a separate registration form for each fax number to which faxes will be received.
Please select from one of the options in the drop down list below:
This is the name of the person or department which is the owner of the primary email account, to which the fax number that will be entered below will be associated. Even if multiple people will be sending faxes from the same fax number, please enter the name of the primary account owner only.
Enter the fax number on which you currently receive faxes, or Indicate "New" If you would like to have a new fax number assigned.
Please enter the primary email address of the person or department to which fax messages will be delivered... This should be the email address of the Fax Account Owner.
If faxes are to be delivered to other recipients as well as the Fax Account Owner, please enter the email address(es) of the other recipients, separated by commas.
This is the email address or addresses of the people that will have the ability to send faxes from their email inboxes. Please separate email addresses with commas.