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You will need to insure that Skype is installed - the add-in uses Skype's installed .dlls
The tool adds a menu item "Call via Skype..." to the context menu when you click on a contact in Outlook. It also adds a ribbon button to the contact object in Outlook as well. You can click on one of the 'speed dial' buttons, i.e. a button in the Call Manager such as 'Home', and the add-in uses Skype to call the person's phone number. If you're calling a regular number (not a Skype handle), Skype-out charges apply (a fee that Skype charges and paid to them).
If you've imported your Outlook contacts into the Skype application, a Skype to Skype button will be enabled for anyone participating on Skype, and you can make a Skype to Skype call.
Links:
[1] http://ceptara.com/node/600
[2] http://ceptara.com/node/326
[3] http://ceptara.com/forum/11