AGREEMENT

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any questions call
1-USS-4-GET-ME-NOT-
1-877-443-8636



This agreement along with application is designed for a common sense of understanding.
If there are any questions feel free to call.
1-USS4-GET-ME-NOT
1-877-443-8636
If you need more information see the following links:
if you need an elder law attorney or lawyer
The application including this form below
About living will,
Review General Information,

Agreement by Personal Voice Inc. Your Forget-me-not Service in the Computer age

Please note that all fields followed by an asterisk must be filled in.
Silver Package Fifteen(15) one-minute calls/week $22.00 per week plus $1.00 per excess minutes
Gold Package Fifteen(15) three minute calls/week $50.00 per week plus $1.00 per excess minutes
Platinum Package Fifteen (15) five minute calls/week chatting or waiting up to five minutes for confirmation $85.00 per week plus $1.00 per excess minutes
A Medical Billing Problem Resolution
B Bill sorting coordination of bills to benefits
C Negotiating with insurance companies for eligible benefits
D Consulting with Medical Staff on a limited basis
E Assistance with writing or form completion, compiling information
1-Presidential greetings arranged
2-Gift Suggestions, Book and Film Finding (Purchasing at additional cost)
3-Special chats of Old Time Radio, early Films, early Television
Yes
No

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Prepay monthly service=10% discount
SILVER SERVICE $88.00=only $79.20
1 Minute call length
15 calls/week -


Prepay monthly service=10% discount
GOLD SERVICE $200.00=only $180.00
3 Minute call length,
15 calls/week -


Prepay monthly service=10% discount
PLATINIUM SERVICE $340.00=only $306.00
5 minute call length
15 calls/week -

For FREE INFO PACK CALL 1-USS-4-GET-ME-NOT,
dial numbers (1-877-443-8636).
Personal Voice Your forget-me-not service in the computer age.

Fast Feedback To Us
or Call 1-877-443-8636-1-USS-4-GET-ME-NOT

Please note that all fields followed by an asterisk must be filled in.
Yes
No
Working with a senior
Seeking employment as a caregiver
Working as a paid caregiver
Needing additional income at home
See our free webpage offer
See our caregiver job description
YES
NO
yes
no
yes
no
yes
no
yes
no
yes
no

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