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I use magic jack works quite well
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Phonepower a voip for homes and small offices also provides a wide range of business IP solutions (Broadvoice is their business handle). &nbsp; See: &nbsp;<br />
&nbsp; &nbsp; &nbsp;<a href="http://www.phonepower.com/sip-trunking.aspx" rel="ugc">http://www.phonepower.com/sip-trunking.aspx</a><br />
&nbsp; &nbsp; &nbsp;<a href="http://www.broadvoice.com/SIPTrunking" rel="ugc">http://www.broadvoice.com/SIPTrunking</a> <br />
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I used their cloudPBX solution in a small office (10 phones) recently with excellent results and very good pricing. &nbsp; &nbsp;Their service and support are all based in the USA, so no issues with hard to understand accents. &nbsp;Their staff was always helpful on the hard and easy issues through all aspects of the install and configurations of each phone/group.
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Phonepower a voip for homes and small offices also provides a wide range of business IP solutions (Broadvoice is their business handle).   See:  
     http://www.phonepower.com/sip-trunking.aspx [http://www.phonepower.com/sip-trunking.aspx]
     http://www.broadvoice.com/SIPTrunking [http://www.broadvoice.com/SIPTrunking]

I used their cloudPBX solution in a small office (10 phones) recently with excellent results and very good pricing.    Their service and support are all based in the USA, so no issues with hard to understand accents.  Their staff was always helpful on the hard and easy issues through all aspects of the install and configurations of each phone/group.

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When you use speedtest.net what is your download/upload speeds?<br />
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The provider often has a similar tool that helps you test.<br />
The other question, what rourer do you have.<br />
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When you say the quality is poor how does it come in, Echo, stuttering, etc.
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When you use speedtest.net what is your download/upload speeds?

The provider often has a similar tool that helps you test.
The other question, what rourer do you have.

When you say the quality is poor how does it come in, Echo, stuttering, etc.

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I currently use voip.ms, however their quality is lacking.
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I currently use voip.ms, however their quality is lacking.

Looking for a premium retail provider for outbound SIP calls to Canada / US

Networking is the process of connecting computing devices, peripherals and terminals together through a system that uses wiring, cabling or radio waves that enable their users to communicate, share information and interact over distances. Often associated are issues regarding operating systems, hardware and equipment, cloud and virtual networking, protocols, architecture, storage and management.

Networking

Voice over IP (VoIP) is a methodology and group of technologies for the delivery of voice communications and multimedia sessions over Internet Protocol (IP) networks, such as the Internet. Other terms commonly associated with VoIP are IP telephony, Internet telephony, broadband telephony, and broadband phone service. The term specifically refers to the provisioning of communications services (voice, fax, SMS, voice-messaging) over the public Internet, rather than via the public switched telephone network (PSTN).  Examples of the VoIP protocols are H.323, Media Gateway Control Protocol (MGCP), Session Initiation Protocol (SIP), H.248 (also known as Media Gateway Control (Megaco)), Real-time Transport Protocol (RTP), Real-time Transport Control Protocol (RTCP), Secure Real-time Transport Protocol (SRTP), Session Description Protocol (SDP), and Inter-Asterisk eXchange (IAX).

Voice Over IP

Telecommunication occurs when the exchange of information between two or more entities (communication) includes the use of technology. Communication technology uses channels to transmit information (as electrical signals), either over a physical medium (such as signal cables), or in the form of electromagnetic waves. The word is often used in its plural form, telecommunications, because it involves many different technologies.