Contact OnTimeRx

Please use the form below to send questions or comments about OnTimeRx^® or OnCellRx^®.
Your comments and suggestions are always welcome.

Required items are in red and have an asterisk (*)

Name*:

Address Line 1:

Address Line 2:

City:

State / Province:

Zip / Postal Code:

Country:

E-mail*:

Daytime Phone & Ext.:

Evening Phone & Ext.:

Fax Number:

Preferred Method of Contact:
(Check all that apply)

E-mail
Phone
Fax

Which devices do you own?
In the space below each device, please type which model/type you own.

Palm OS PDA
Make & Model:

Cellphone
Make & Model:

Other - Please specify

Don't own a PDA, Smartphone, BlackBerry, or pager

Palm OS Smartphone
Make & Model:

Pocket PC
Make & Model:

BlackBerry
Make & Model:

Comments / Questions *
What information do you need?

For Palm and PPC Users

HotSync® Name
or ActiveSync®
Owner Name:

Enter the *exact* HotSync® name or ActiveSync® Owner Name that you use to identify your PDA. If unknown, enter: n/a.

To find your Palm device Hot Sync ID:

To find the Owner Name on a PPC device:

For Windows XP Users

Product ID:

Find the OTRx-Win Product ID in the Options - Registration screen.

Please enter the security code at the left.*

Any contact information submitted will be kept confidential and will not be sold or redistributed by AmeliaPlex, Inc.