Qwest - 6 & 12 Month Save Offer Submission

Please note eligiblity requirements - It your responsibility to ensure the client meets the minimum requirements or the promotion will not fulfill.

Customers with 1-3 Products are eligible for 6mos
Customers with 4-5 Products are eligible for 12mos
Customers will be billed for services then credit will appear on next months statement for the agreed term
Eligibility Requirements
Silver or Platinum W/MSN and P4L
Cannot be combined with other M2M Offers

Please make sure you have entered the following PERM note, changing the XX to the number of months:
cci to cxl srvc save w/ FRE HSI for XX mnth
Edu cust term commit will shw 30-60 days after issued NCOBBLoy

Name: 


A red asterisk (*) indicates required questions.

  1. Customer BTN : *


  1. Customer Code : *


  1. 6 or 12 Months :
    6
    12


  1. Date of Offer (MMDDYYYY) <-Please follow format:


  1. Order # (If Applicable) :


  1. Supervisor Name :