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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?
*
Connect Your Home
Current Client
Dc Solutions
Earthlink
FEHome
Florida cellular dbaNationwide satellite
FRONTIER COMMUNICATIONS
Funneleads
Grupo Adler Services
Hawaiian Telcom.
Ignition Digital LLC
Internet Search
Jeff Cox
Master Dealer
MetroNet
MovePad LLC
None
PYP Sales LLC
SATELLITE COMMUNICATIONS LLC
Spectrum
Sunnyville Tech
Tier 3 Communications and Consulting Inc
Tim Gwin
Urban Wireless NY LLC
vivint.SmartHome
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
altafiber
Altice
Astound Broadband Powered by Grande
Astound Broadband Powered by RCN
Astound Broadband Powered by Wave
AT&T and DIRECTV
BestBuy
Breezeline
Buckeye Broadband
Cirro Energy
ClearwaveFiber
COX
Direct Energy
Direct Energy Services
Energy Plus Holdings
Fidium Fiber
First Energy Surge Assist
FirstEnergy Solar Program
Frontier
Green Mountain Energy
Hawaiian Telcom
HomeServe
Hughesnet
IGS Energy
LumosFiber
MaxxSouth Broadband
Mediacom
Metronet
MintMobileAPI
MintMobile-InActive
Reliant Energy Northeast
Smithville
Spectrum
Spectrum Etail
Verde Energy
Verizon
Viasat
VIVINT
WGL Energy
Windstream
Windstream Business
WindstreamEpc
WOW!
Xfinity
XfinityEPC
Ziply
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
altafiber
Altice
Astound Broadband Powered by Grande
Astound Broadband Powered by RCN
Astound Broadband Powered by Wave
AT&T and DIRECTV
BestBuy
Breezeline
Buckeye Broadband
Cirro Energy
ClearwaveFiber
COX
Direct Energy
Direct Energy Services
Energy Plus Holdings
Fidium Fiber
First Energy Surge Assist
FirstEnergy Solar Program
Frontier
Green Mountain Energy
Hawaiian Telcom
HomeServe
Hughesnet
IGS Energy
LumosFiber
MaxxSouth Broadband
Mediacom
Metronet
MintMobileAPI
MintMobile-InActive
Reliant Energy Northeast
Smithville
Spectrum
Spectrum Etail
Verde Energy
Verizon
Viasat
VIVINT
WGL Energy
Windstream
Windstream Business
WindstreamEpc
WOW!
Xfinity
XfinityEPC
Ziply
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
altafiber
Altice
Astound Broadband Powered by Grande
Astound Broadband Powered by RCN
Astound Broadband Powered by Wave
AT&T and DIRECTV
BestBuy
Breezeline
Buckeye Broadband
Cirro Energy
ClearwaveFiber
COX
Direct Energy
Direct Energy Services
Energy Plus Holdings
Fidium Fiber
First Energy Surge Assist
FirstEnergy Solar Program
Frontier
Green Mountain Energy
Hawaiian Telcom
HomeServe
Hughesnet
IGS Energy
LumosFiber
MaxxSouth Broadband
Mediacom
Metronet
MintMobileAPI
MintMobile-InActive
Reliant Energy Northeast
Smithville
Spectrum
Spectrum Etail
Verde Energy
Verizon
Viasat
VIVINT
WGL Energy
Windstream
Windstream Business
WindstreamEpc
WOW!
Xfinity
XfinityEPC
Ziply
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
altafiber
Altice
Astound Broadband Powered by Grande
Astound Broadband Powered by RCN
Astound Broadband Powered by Wave
AT&T and DIRECTV
BestBuy
Breezeline
Buckeye Broadband
Cirro Energy
ClearwaveFiber
COX
Direct Energy
Direct Energy Services
Energy Plus Holdings
Fidium Fiber
First Energy Surge Assist
FirstEnergy Solar Program
Frontier
Green Mountain Energy
Hawaiian Telcom
HomeServe
Hughesnet
IGS Energy
LumosFiber
MaxxSouth Broadband
Mediacom
Metronet
MintMobileAPI
MintMobile-InActive
Reliant Energy Northeast
Smithville
Spectrum
Spectrum Etail
Verde Energy
Verizon
Viasat
VIVINT
WGL Energy
Windstream
Windstream Business
WindstreamEpc
WOW!
Xfinity
XfinityEPC
Ziply
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?
*
