v17.7
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Company Info
Current Providers Affiliation
Customer Experience
Marketing Tactics
Company Info
Registered Business Name
*
Address 1
*
Address 2
City
*
State
*
Zip
*
Business Registration Number
Tax Identification Number
Federal Tax Classification
C Corporation
Individual/Sole Proprietor or Single-Member LLC
Partnership
S Corporation
Trust/Estate
Business Contact
Title
First Name
*
Last Name
*
Email
*
Phone
*
Technical Contact
First Name
Last Name
Email
Phone
Other info
Company Description
Lead Source Information
PCI COMPLIANT
Are you PCI Compliant?
Yes
No
Reference
How did you find out about Bundledealer.com?
*
Allied Marketing LLC
Contact Center Solutions Group
Current Client
Dc Solutions
Earthlink
Florida cellular dbaNationwide satellite
Funneleads
Internet Search
Jeff Cox
John Bock
Master Dealer
MetroNet
None
Spectrum
Steve Goodrich
Tim Gwin
WOW
Wow Demo Dealer
Payment Information
Financial Institution
Routing Number
Checking Account Number
Re-Enter Checking Account Number
Account Title
Account Type
*
By checking this box, you certify that all answers are true and complete. You understand that false or incomplete information may result in a payment delay
Call Center
Who will be fielding customer calls?
Ibex digital Call Center
Yes
No
Affiliate Partner Call Center
Yes
No
Call Center Address
If Affiliate Partner Call Center, is it located on-shore or off-shore?
On-Shore
Off-Shore
Does your call center do outbound calling?
Yes
No
If Affiliate Partner Call Center, do they record calls?
Yes
No
Are you looking to send overflow and after-hours calls?
Yes
No
If sending calls to Ibex digital, how many TFNs are required?
How long is the record of call kept?
Do you host an IVR before sending us calls?
Yes
No
Add
Select Provider
ADT
Altice
AT&T
ATT Wireless
BendbroadBand
Buckeye Broadband
CENTURYLINK
Charter
Comcast
COX
Direct Energy
Earthlink
Earthlink Hyperlink
FirstEnergy Home
Frontier
Georgia Natural Gas
Grande Communications
Hawaiian Telcom
HomeServe USA
HUGHESNET
Mediacom
Metronet
Optimum
RCN
Rise Broadband
Smithville
Spectrum Etail
TDSCABLE
TDSTelecom
Wave
Windstream
Windstream Business
WOW!
Select Length of Relationship
Less than a year
Equal to 1 year
Equal to 2 years
Equal to 3 years
Equal to 4 years
Greater than 5 years
Select Provider
ADT
Altice
AT&T
ATT Wireless
BendbroadBand
Buckeye Broadband
CENTURYLINK
Charter
Comcast
COX
Direct Energy
Earthlink
Earthlink Hyperlink
FirstEnergy Home
Frontier
Georgia Natural Gas
Grande Communications
Hawaiian Telcom
HomeServe USA
HUGHESNET
Mediacom
Metronet
Optimum
RCN
Rise Broadband
Smithville
Spectrum Etail
TDSCABLE
TDSTelecom
Wave
Windstream
Windstream Business
WOW!
Select Length of Relationship
Less than a year
Equal to 1 year
Equal to 2 years
Equal to 3 years
Equal to 4 years
Greater than 5 years
Select Provider
ADT
Altice
AT&T
ATT Wireless
BendbroadBand
Buckeye Broadband
CENTURYLINK
Charter
Comcast
COX
Direct Energy
Earthlink
Earthlink Hyperlink
FirstEnergy Home
Frontier
Georgia Natural Gas
Grande Communications
Hawaiian Telcom
HomeServe USA
HUGHESNET
Mediacom
Metronet
Optimum
RCN
Rise Broadband
Smithville
Spectrum Etail
TDSCABLE
TDSTelecom
Wave
Windstream
Windstream Business
WOW!
Select Length of Relationship
Less than a year
Equal to 1 year
Equal to 2 years
Equal to 3 years
Equal to 4 years
Greater than 5 years
Select Provider
ADT
Altice
AT&T
ATT Wireless
BendbroadBand
Buckeye Broadband
CENTURYLINK
Charter
Comcast
COX
Direct Energy
Earthlink
Earthlink Hyperlink
FirstEnergy Home
Frontier
Georgia Natural Gas
Grande Communications
Hawaiian Telcom
HomeServe USA
HUGHESNET
Mediacom
Metronet
Optimum
RCN
Rise Broadband
Smithville
Spectrum Etail
TDSCABLE
TDSTelecom
Wave
Windstream
Windstream Business
WOW!
Select Length of Relationship
Less than a year
Equal to 1 year
Equal to 2 years
Equal to 3 years
Equal to 4 years
Greater than 5 years
How does the customer get from initial impression/contact to call/submitted order?
Marketing tactics: (Please check all that apply)
PPC
SEO
Email Marketing
Online Directories
Other
Describe other online marketing tactics
Any other tactic used?
Do you partner with any third-party for sourcing web traffic or leads or calls?
Yes
No
If yes, please provide a list of partners
URL/website needing approval (list all that apply)
Branding
Will the partner's logo be displayed on the site?
Yes
No
Will the partner's name or product name be visible?
Yes
No
Will Specific offer pricing be displayed?
Yes
No
If yes, will the Affiliate Partner host pricing?
Yes
No
What sum of the numbers is in the image?
*
