Payphone Sales

Payphone Order Form

Contact Name

Phone Number

Name of Organization :: Where The Phones Will Be Installed

Type of Organization

If this is an inmate facility, temporary residence, or hospital, please complete the fields below:

# of Beds

# of Phones

# of Patients

Average Length of Stay

How soon do you wish to have a phone installed?

Preferred Method of Contact

Phone

Inquiry/Comment