Qwest 6/12 Month Promotional Offer - Fulfillment Error

• If customer does not qualify, please explain to the customer & offer additional save offers.
• If the customer does not qualify but is adamant they were offered OR it is noted that they were offered it – Information will be sent to Qwest and reviewed on case by case basis for possible credit – Please do not promise any customer credit

• It is imperative that you verify the information submitted to be factual & correct. The client must qualify, meeting all applicable requirements such as speed & Price For Life. You must also ensure a minimum of 60 days (2 billing cycles) has passed before submitting. If you decide to overlook this step, accounts will be returned and you will need to follow-up with your client.



A red asterisk (*) indicates required questions.


  1. BTN/DTN:*


  1. Date of Original Offer (MM/DD/YYYY):*


  1. Customer Code:*


  1. Can Be Reached:*


  1. Customer Name:*


  1. Customer Contact Name:*


  1. Problem Description:*


  1. Applicable Order number:*


  1. Your Name:*


  1. Your NLTY:*


  1. Your Sales Code:*


  1. Your Coach:*