The modem method works well for my clients. I experimented with Efax today and was able to use it just fine. If you need to fax AND e-mail the document, simply enter the efax # and e-mail address into the e-mail field (separate them with semicolon). Both can be defined as default e-mail address in Customer Maintenance. If you want to disable fax cover page (to save on fees), enter {nocoverpage} into body of e-mail (in Paperless form setup).