Plus Plan Order Form

To process your request, please complete the information below. You will receive an e-mail confirmation once the information has been received. Please allow 24 hours for request to be processed.

Personal Information
First Name: *
Last Name: *
Home Phone Number: *
Cell Phone Number: *
Do you authorize to give out?: *
E-mail Address: *
Do you authorize to give out?: *
Home Address: *
City *
State: *
Zip Code: *
Country: *
Driver's License Number: *
Driver's License State Issued: *
Company Information
Company Name: *
Type of Business (please describe): *
Business Phone Number: *
Business Fax Number:
Company Tax ID #: *
Company's Main Billing Address: * (Other than HBC's address)
City: *
State: *
Zip Code: *
Country: *
Phone Calls/Mail Handling
Provide a phone number where calls should be transferred to: *
Provide a preferred greeting for calls to be answered: *
List all individuals who might receive calls and/or mail: *
List all other business names under which you may receive mail (if applicable):
Mail & Package Handling: *
Mail should be forwarded to: *
Provide a four (4) digit code: * (For Copy Room Services and/or Conference Room Reservations)
Payment Information
Virtual Office Plan: *
To activate service, we must receive payment for the Security Deposit ($140.00), Set-Up Fee ($50.00) and First Monthly Payment. (6% Sales Tax Included Below)
Total Amount Due: *
Monthly payments will be charged to the credit card below.
Credit Card Type: *
Name as it Appears on Card: *
Credit Card Number: *
Credit Card Billing Address: *
City: *
State: *
Zip Code: *
Expiration Date (MM/YY): *
CVV Code: (3-Digit Code on Back of Card) *
By ordering, you agree to our Terms of Service and Costs.