You basically need a client that will allow SIP to SIP calls outside their network (Skype does not do this):

VOIP "softphone" clients for SIP and IAX2 are available that can easily be dropped into Asterisk/Trixbox for instance.

You can get an AXVOICE PSTN SIP unlimited gateway or trunk [to make calls to people with cell phones and copper phones] (which includes a free Grandstream 286 ATA [hardware device you configure to plug in a phone [more expensive models include a network port for more than one system with the RJ11)]) that can be configured for Asterisk/Trixbox or a VOIP Client on your desktop, for like $9.00 a month.  http://www.axvoice.com

BEWARE - these don't all do what you might need - read features carefully before choosing one.

Soft Phones (Open Source)

Where the software source code is available for users to use, redistribute and modify.
Model Description
ActXPhone An ActiveX-Control SIP Softphone.
BonePhone Linux SIP softphone in Java.
Ekiga SIP, H.323 audio and video softphone for various unices.
GnomeMeeting H.323 SIP in beta , OpenSource VoIP/Video software for Unix ( win32 coming ... ).
IAXComm IAX2 softphone for Windows, Linux & MacOSX using IAXClient.
JsPhone Java SIP softphone with video support.
Kiax IAX softphone for Linux using QT (runs well also on GNOME), ported to Windows (QT4).
KPhone SIP softphone for KDE.
Linphone Video softphone for Linux and Windows using osip stack.
minisip Softphone for Linux with support for additional security features.
Mobile IAX IAX softphone.
MozPhone IAX addon. Text and URL support, and manager interface. http://moziax.mozdev.org>MozIAX
OpenPhone OpenH323.
OpenWengo .
OpenZoep Softphone engine.
Peers Minimalist SIP softphone written in Java. Tested on Linux and Windows. ITU G.711.
PhoneGaim Linux and Windows softphone with instant messaging, SIP.
SFLphone Multiplatform softphone from Savoir-faire Linux, SIP, IAX.
Shtoom SIP softphone written in Python. Runs on Windows, Mac, Linux.
SIP Communicator SIP Java based softphone.
sipXphone SIP softphone from SIPfoundry, previously known as the Pingtel phone.
sipXezPhone "sipX easy phone", a SIP softphone bassed on sipXtapi.
Twinkle SIP softphone for Linux.
wxCommunicator SIP Windows, C++, based on sipXtapi.
YakaPhone Simple, skinnable IAX/IAX2 and SIP softphone from YakaSoftware.
ZiaxPhone SIP and IAX softphone for the Sharp Zaurus PDA.


Soft Phones (free, not Open Source)

Soft Phones in this category should be completly free to use and not bound to only one or a few providers.


Why pay for Skype's P2P propritary PSTN minutes? 
[Note Beware the "extra charges" on the "free phones" - they usually include PSTN trunk call fees!]


References:
http://www.voip-info.org/wiki-VOIP+Phones

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> From: kitepilot@kitepilot.com
> To: plug-discuss@lists.plug.phoenix.az.us
> Subject: Re: VOIP, SIP phones
> Date: Sat, 1 Nov 2008 08:26:49 -0400
>
> Aha! :)
> I am not that familiar with VoIP, welcome any teaching, but:
>
> Assuming that openmoko is "all that open", and Skype is available to the
> platform, is it possible to connect it to a 802.11 network, fire up a Skype
> call, and use the receiver as your microphone and speaker ?
> I don't see a reason why not...
>
> And you also get to use it as a regular phone.
> ET
>
> PS: And you get to have a device that allows you to walk into a Starbucks
> and open up an SSH terminal into your network if "*IT*" hits the fan, but
> that's a different thread... :)
>
>
>
>
> James Finstrom writes:
>
> > Sip and skype are not the same thing so you kinda have to choose one
> > unless you get some sort of skype to sip gateway
> >
> > On 10/31/08, kitepilot@kitepilot.com <kitepilot@kitepilot.com> wrote:
> >> http://openmoko.com/
> >> :)
> >>
> >>
> >> Nathan writes:
> >>
> >>>
> >>> I'm looking for a phone to use with skype, maybe others. I have a laptop
> >>> that has BIOS problems so it cannot be unplugged, so if the phone must
> >>> connect to a pc that is fine, but I would prefer some kind of wireless
> >>> phone.
> >>>
> >>> Does anyone use any of the USB skype phones with linux? What are your
> >>> thoughts?
> >>>
> >>> Nathan
> >>> ---------------------------------------------------
> >>> PLUG-discuss mailing list - PLUG-discuss@lists.plug.phoenix.az.us
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> >>
> >
> > --
> > Sent from my mobile device
> >
> > James Finstrom
> > Rhino Equipment Corp.
> > http://rhinoequipment.com ~ http://postug.com
> > Sometimes for it to "just work" you have to think outside the box!
> > Phone: 1-877-RHINO-T1 ~ FAX: +1 (480) 961-1826
> > IP: guest@asterisk.rhinoequipment.com
> > ---------------------------------------------------
> > PLUG-discuss mailing list - PLUG-discuss@lists.plug.phoenix.az.us
> > To subscribe, unsubscribe, or to change your mail settings:
> > http://lists.PLUG.phoenix.az.us/mailman/listinfo/plug-discuss
> ---------------------------------------------------
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> To subscribe, unsubscribe, or to change your mail settings:
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