There is no "activation fee" as defined by cell phone companies. You need to purchase a Presto Printing Mailbox (one time hardware fee) and then subscribe to the Presto Mail service which nets out to $12.50 a month when purchased as part of an annual plan for $149.99 -- no contract required, cancel anytime and receive a pro rated refund for unused months.
The user of the Presto Printing Mailbox needs to be in the United States, but anyone in the world can send email to that device as long as their email address is on the user's Presto Friends list.
Hope that helps,
Peter
Presto Insider: Peter Radsliff
CEO, Presto Services Inc.
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