New Customer Form Language Innovations
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1Please email completed form to:
Client I nformation
Customer C ode:
Company N ame:
Industry:
Address:
Customized B illing
Language I nnovations p rovides c ustomized b illing t o e very a ccount b y g athering s pecified b illing i nformation f rom c allers b efore
every i nterpretation s ession. G athered i nformation w ill a ppear w ith e ach c all o n y our m onthly i nvoice.
Your i nvoice w ill a utomatically i nclude t he d ate, t ime, l ength, t otal c ost a nd l anguage n eeded f or e ach c all. I n a ddition t o t he
information a bove, L anguage I nnovations c an c ollect u p t o f our s tatistics f rom c allers.
If y ou i ndicate “ YES,” r equired f or b illing, y our e mployee/CSR w ill N OT b e c onnected t o a n i nterpreter w ithout t his i nformation. I f w e
should c onnect y our e mployee/CSR r egardless o f t hem h aving t he p articular p iece o f i nformation, p lease i ndicate “ NO.”
I nformation t o b e c ollected R equired f or b illing? Y es/No
1.
2.
3.
4.
If Y es t o a ny, p lease p rovide n ame a nd p hone n umber o f a c ontact w ithin y our c ompany w hom c allers c an b e r eferred t o s hould
they n ot h ave t he b illing i nformation r equired f or c onnection:
Language M ix
ANTICIPATED M INUTES P ER M ONTH ( IF K NOWN):
FREQ. R EQUESTED L ANGUAGES– A ttach p revious u sage r eport, i nvoice o r s preadsheet i f a vailable
Phone R ecordings: I t i s t he p olicy o f L anguage I nnovations t o r ecord a ll t elephonic i nterpretation s essions f or b illing a nd q uality
control p urposes. B y c hecking t he b ox b elow y ou a re r equesting t hat y our s essions n ot b e r ecorded.
I r equest t hat m y i nterpretation s essions n ot b e r ecorded
Terms:
1. Telephonic Interpreting Services are billed at $2.25 per minute or part thereof.
2. Client agrees to pay for accrued services monthly upon receipt of an invoice.
3. A receipt of payment will be sent to Client at the end of the billing cycle, which concludes on the last calendar day of each month
after payment has been charged to the credit card.
AGREED AND ACCEPTED BY CLIENT: ____________________________________ ____________________________________
Sign above & Date
Name & Title
1725 I Street, NW
Suite 300
Washington, DC 20006
202.349.4180 tel
888.349.4180 toll free
202.349.4182 fax
email web
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Parent category: Business