To apply for a fax broadcast user account, please complete the following form, then click on the "Generate Printable Form" button at the bottom of the page. Your information will not be transmitted. Only a printable page, used for faxing purposes will be displayed. Fax this signed form to 813-264-0204. We will verify your information, setup your account and e-mail your user account information.


Fax Account Sign-Up Form


First Name:
Last Name:
Company:
Address:
Address:
City:
State: Zip:
E-Mail Address:
Phone:
Fax:


Billing Contact and Address (If different from above)
First Name:
Last Name:
Company:
Address:
Address:
City:
State: Zip:
E-Mail Address:
Fax:
Phone:


Credit Card Authorization (If different from above)
Card Type:
Name on Card:
Number:
Expiration Date:
Credit card billing address:
Address(cont.)
City, State: Zip:


** This information will not be transmitted over the Internet.**

How to contact us
World Fax Services, Inc. 3853 Northdale Blvd. Suite 356
Tampa Fl 33624
Phone: 813-961-7776
Fax: 813-264-0204
info@worldfax.com
Copyright © 2015 | WORLD FAX SERVICES INC | All Rights Reserved