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Language Line® Phone Order Form

To order the Language Line® Phone with one-touch access and dual handsets for a three-way interpreter call, please fill out the information below (* = required) and submit it for processing.



Special Offer. "Speak Pink" Language Line® Phones


October is Breast Cancer Awareness Month. Order these "Speak Pink" phones, anytime throughout the year to show your support for both language access and the fight against cancer.  With all the features of our traditional phones, and the distinctive pink color and pink ribbon logo. A portion of the proceeds support the American Breast Cancer Foundation."  

New!  AIDS Awareness Language Line® Phones

World AIDS Day is December 1st. Order these "Relating in Red" AIDS awareness phones, with all the features of our traditional phones, and the distinctive red color and red ribbon logo.

A portion of the proceeds support important AIDS-related programs.  Select one of the three organizations below as your designated charity:

Please send me:
   Language Line® Phones
   "Speak Pink" Phones for American Breast Cancer Foundation
   "Relating in Red" Phones for
 
Name *
E-mail *
Company *
Client ID *
Phone Number *
Type of Phone System Used * Analog Digital
Do you Dial "9" to Make Calls Outside Your Facility * Yes No
Phone Number You Call to Access Language Line Services *


Please help us serve you better by indicating the departments in which you plan to install your Language Line® Phones (check all that apply): *
 
Emergency Room Examination Room Admissions
Social Services Diagnostic Testing Patient Education
OB-GYN Occupational Therapy Pediatrics
Pharmacy Other:    


Language Line® PHONE TERMS AND CONDITIONS. The following terms and conditions amend and supplement the existing Services Agreement ('Agreement') between LANGUAGE LINE, LLC ('Language Line Services') and you (the 'Customer'). Language Line Services agrees to provide the Language Line® Phones (the 'Equipment') to Customer, and Customer agrees to license the use of the Equipment from Language Line Services, on the following terms and conditions. Except as modified below, all terms and conditions of the Agreement remain in full force and effect. The capitalized terms used in this Addendum shall have the meanings given to those terms in the Agreement. 1. Customer agrees to pay all properly invoiced monthly maintenance charges for the Equipment within thirty (30) days of the invoice date. Customer may use the Equipment to access the Interpreter Services and shall not permit the use of the Equipment by any person or persons other than Customer. Customer shall not make any alterations, additions or improvements to the Equipment without the prior approval of Language Line Services. Any such alterations, additions or improvements to the Equipment shall belong to Language Line Services and shall be subject to the terms of the Agreement. Customer shall comply with all laws relating to Customer's possession or use of the Equipment. 2. Language Line Services warrants that the Equipment will be free from defects in materials and workmanship during the term of the Agreement. In the event of any such defect, Language Line Services may, at its option, promptly repair or replace the defective Equipment. Except as otherwise set forth above, Language Line Services makes no representation, warranty or guarantee, express or implied, about the Equipment. Language Line Services specifically disclaims any warranty or condition of merchantability or fitness of the Equipment for a particular purpose. 3. Language Line Services' entire liability and Customer's exclusive remedy for damages caused by defect or failure of the Equipment, whether for breach or in tort and including but not limited to negligence, shall be limited to the repair or replacement of the Equipment, at Language Line Services' option. Language Line Services will not be liable for any indirect, punitive, special, incidental or consequential damage in connection with or arising out of Customer's use of the Equipment (including loss of business, revenue, profits, use, data or other economic advantage), however it arises, whether for breach or in tort, even if Language Line Services has been previously advised of the possibility of such damage. Liability for damages shall be limited and excluded, even if any exclusive remedy provided for herein fails of its essential purpose. 4. Upon the termination of the Agreement, Customer shall, at its cost, return the Equipment to Language Line Services within thirty (30) days following the termination date. Customer acknowledges that ownership of the Equipment remains with Language Line Services, and that the Equipment must be returned upon the termination of the Agreement. If Customer fails to return the Equipment to Language Line Services within the 30 - day period, Language Line Services may invoice Customer two hundred seventy five dollars ($275.00) per Language Line® Phone not returned and Customer agrees to pay that invoice within thirty (30) days of the invoice date.


By checking this box, I agree to have a monthly maintenance fee¹ per phone added to our monthly bill, and I agree to the above Terms and Conditions. *