This form is used to sign up for new services with Hosted Dialer.

By completing this form, you are signing up to have a Per-Minute Predictive Dialer Account.

This means that you will have one admin login as your master account.

You will be able to create as many user accounts as you like with your admin account.

All of your users can dial leads using your balance, once your balance is at $0.00, you can re-fill your account.

Your completed form will be forwarded to Hosted Dialer for processing automatically once you complete and submit the form.

If you complete the form during normal business hours, your login details will be emailed to you within the hour and a Hosted Dialer customer support representative will be contacting you shortly thereafter, to offer any assistance.