Sales Support Request Form

Sales Support Request Form QRG.docx (sharepoint.com)

Construction Alert:

The current Sales Support Request web-form is under construction to simplify the case submission process. Please use the following link to submit request to Sales Support while enhancements are being made.

Sales Support Request Form (tfaforms.net)

Alert:

The current Sales Support Request web-form is experiencing issues related to the most recent Salesforce update. Please use the following link to submit requests to Sales Support while enhancements are being made.

Sales Support Request Form (tfaforms.net)

Alert - Regional East ICOMS Migration

Cli Clients who are billed out of Regional East ICOMS will be migrated to National ICOMS on 4/21. There will be a freeze in Salesforce from Wednesday 4/20 4pm EST to Thursday 4/21 5pm EST on configuring products on Opportunities, or modifying products on existing Opportunities that are affected by this migration.

All All cases submitted for product configuration during this time will be placed on hold and worked after the freeze is lifted.

Alert:

Requests for MDU Change and Downgrade click here:

MDU Client Request Form

General Information

Spectrum Work Email:

In order to receive Auto Responses, this must be your @charter.com email.

Sales Channel:

Strategic Account Name:

Existing Special Project?

Account Category:

CBP or EIS?:

New or Existing Customer?

Is this E-rate?:

MSA Property:

Does the Client need portal billing?

Portal Name:

Account Name:

Contract type?

Special Request Type:

Does request need new Franchise Subgroup?

Does this Franchisee need to be set up in Salesforce under the Parent Brand?

Requested Disconnect Date:

If multiple disconnect dates are requested, please insert latest date.

NOTE - One Time Event Request

A One Time Event is defined as temporary services provided to a customer for 180 days or less (such as conventions, conferences, tournaments, converts, television specials (i.e. Presidential debates), festivals, sporting events, etc.). For more details please reference the One

Time Event.docx (sharepoint.com)

If your request does not meet these requirements please make a different selection to ensure your case is routed properly and handled in a timely manor. For more details on proper selection please reference the Sales Support Request Form QRG.docx (sharepoint.com)

NOTE - Admin Fee Program

Requested Campaign Codes: ServPro: 2024-Q4_STC_Admin-Fee-Program-SERVPRO_ALL_Other_SG_Outbound Best Western: 2024-Q4_HSC_Admin-Fee-Program-Best-Western_ALL_Other_SG_Outbound

Are you creating a new subgroup?

Ntl Sales Invoice Presentation:

Legal Business Name:

Do you need an opportunity created?

Does the customer require a personalized installation / implementation post sale complete?

Tell us about your request:

Please include a link to your opportunity:

The top left of the Salesforce page will display “Opportunity”

Billing Account URL:

The top left of the Salesforce page will display “Account," and the field "Account Type" (on the top right of the screen) will have “Billing Account” populated

Does this customer have a BPA or MSA?:

Attach BPA or MSA:

Is this deal greater than $2,500?

Request is for 3 or more locations?

Is Express Connect?

More than 3 locations template

Please use the following form as a template for all request for more than 3 locations. Documents: Special Pricing Approval ~ Salesforce - Performance Edition

Contract?

Generate Contract (if applicable)Sales Support will assess the Opportunity for Spectrum Business Rules and generate an agreement if Business Rules are met. If not, Sales Support will reach out for next steps.

Decision Maker:

Will any existing services require updates to fulfill this request?

Optional Attachments:

Survey required?

Contract / Site number:

Request under $200

NOTE: If this is a request from a client regarding service changes for under $200, please advise your client to contact Client Services by calling 888-812-2591

Customer Information

Customer Type:

Tax Information

Tax Exempt:

Federal Tax ID:

Billing Information

Update Needed:

Update Billing Address

Account Needed:

New Billing Account Needed

Ntl Sales Invoice Presentation?

Billing Address:

Suite #:

City:

State:

Zip Code:

Hierarchy Needed?:

Administrative Fee Agreement Account Information

Parent brand master billing account name:

Parent brand master billing account URL

Franchisee billing account name:

Franchisee billing account URL:

Ntl Sales Invoice Presentation?

Net/New Franchisee Subgroup Account Information

Franchisee legal business name:

Ntl Sales Invoice Presentation?

Billing Address:

Suite #:

City:

State:

Zip Code:

Billing contact name::

Billing contact email:

Billing contact phone:

Contact Information

Point of Contact:

Full Name:

Email:

Phone #:

UC MACD

Is this a UC with Webex or RingCentral Change?

UC with WebexUC with RingCentral

Based off the table below is the change a Simple or Complex UC with Webex MACD?

SimpleComplex

Based off the table below is the change a Simple or Complex UC with Ring Central MACD?

SimpleComplex

UC with Webex

UC with RingCentral

Opportunity Modifications

What modifications would you like us to make?

Contract and/or Proposal Creation

Decision Maker:

Any Additional Information:

Automated Approval Information

Requesting Special Pricing Approval:

Please Review - Sales Support can review Special Pricing Requirements for you

Special Pricing Form

IRR/Decision Support Review:

Please Review - Sales Support can review IRR requirements for you

Special Instructions or Notes for the Approver

Are Opportunity Modifications needed prior to approval submission/review?:

Modification Details:

Easy Upgrade (DFI / Ethernet)

Account Number:

Tell us about your request:

Attachments:

Add Products / Survey

Adding a new line of business?

Survey Required?

Product Details:

Initiate a Sale Complete Review

Has the NTL Sales Invoice Presentation been verified?

NTL Sales Invoice Presentation?

Attachment:

Special Instructions:

Renewal / Move / Change

Is the customer adding a new LOB?

What is the intent of the order?

WITHIN TERM or EXTENDING TERM?

Move

New Service Location

Street Address:

Suite Number:

City:

State:

Zip Code:

Is the building Greenfield?

Please provide any additional details:

Renewal

Please provide details regarding new term or rate changes:

Change

Please tell us about the requested change:

Request Attachment(s):

Location Information

Existing Location in Salesforce:

Is this request to build products only?:

Is the building Greenfield?

Service Address same as Billing Address

Service Location URL:

The top left of the Salesforce page will display “Account,” and the field Ntl Sales Hierarchy Flag (on the left of the screen) will have “Service Location” populated

Add to Existing Hierarchy?:

Hierarchy ID:

Service Location

Street Address:

Suite #:

City:

State:

Zip Code:

Request Information

Request is for a RFP:

Tell us about your request:

The above request type(s) will require special review by Sales Support. After your request is received, a Sales Support Specialist will review the information above and reach out to you shortly with next steps.

Request Attachment(s):

Please attach a spreadsheet and/or document with needed information and locations.

Opportunity Attachment(s):

Please attach all applicable documents for this request, i.e. PQE.

Site Survey Information

Enterprise Product(s) to survey for:

DFI	UC (Fiber)
UC (DOCSIS)	Ethernet (DOCSIS)
Ethernet (Fiber)	Enterprise Trunking (PRI)
PRI Trunk - DOCSIS	Enterprise Trunking (SIP)
SIP Trunk - DOCSIS	Fiber Connect Plus
Fiber Connect Plus - Remote PHY	Fiber Connect Plus - IP Handoff
SBB-IP Delivery	Set Back Box
TV Streaming Access	Wavelength

SMB Product(s) to survey for:

Bulk HSD	Bulk BCP
Video	HSD
Business Class Phone

Request Trunking Survey

Trunking Survey Only

Diversity?

Rural Healthcare?

Type of Physical Diversity Needed?

Customer Technical Contact First Name:

The Technical contact is customer's point of contact to assist with the survey and any additional technical questions.

Customer Technical Contact Last Name:

The Technical contact is customer's point of contact to assist with the survey and any additional technical questions.

Technical Contact Phone #:

Technical Contact Email:

Service Location URL:

The top left of the Salesforce page will display “Account,” and the field Ntl Sales Hierarchy Flag (on the left of the screen) will have “Service Location” populated

Special Survey Instructions:

Products

Product(s)

DFI	Secure Dedicated Fiber Internet
DDOS	Ethernet
Trunking	UC with WebEx
Complex Video	Cloud Connect (existing Ethernet)
MNS (standalone)	Managed Wifi (standalone)
Simple Coax	Product Not listed
SMB National Coax	Wireless Internet Backup
Wireless Internet	Managed Network Edge (MNE)
PEG	Enterprise Network Edge
Enterprise Internet	WebEx Meetings
Wavelength	UC with RingCentral
Cloud Security

Rate Card / Special Pricing / MSA:

Diverstiy

Discretionary Pricing?:

Use Discretionary pricing where available

Special Pricing form:

NOTE:

If special pricing is requested and no form is attached, Sales Support will default to Rate Card pricing until approved Special Pricing form is provided.

Are any of the addresses residential?

Please list all residential locations included in the request:

Tell us about the Product you are selling:

If your product is not listed, it is because it is not a standard Rate Card offering. Please give us as much information as possible, i.e. rate, term, product approvals. Sales Support will review the request for approval requirements and reach out with next steps.

DFI

Bandwidth:

Term:

# of Static IPs:

Waive Static IP MRC

Circuit Type

Type IIType III - DFIFinished Internet - HSD

Does this location have existing Data/HSD Services?

Please select the appropriate response below to advise if the existing services should be disconnected or if the customer would like to maintain both services:

Promotions or Quick Connect

Assess product(s) for applicable promotions & applyCustomer qualifies for Quick ConnectIf you know the Promo you want to use and it affects the MRC/NRC, fill out those fields appropriately.

Applicable promo name

Secure Dedicated Fiber Internet

Bandwidth:

Term:

# of Static IPs:

Circuit Type

Type IIType III

Does this location have existing Data/HSD Services?

Please select the appropriate response below to advise if the existing services should be disconnected or if the customer would like to maintain both services:

Promotions or Quick Connect

Assess product(s) for applicable promotions & applyIf you know the Promo you want to use and it affects the MRC/NRC, fill out those fields appropriately.

Applicable promo name

Wireless Internet

Term

Alert:

Requires 10 or more locations with the same Wireless Internet Essential Plan

Wireless Internet Backup

Wireless Internet Backup:

Wireless Internet Backup can only be ordered with an associated Spectrum FIA connection that is less than or equal to 100 Mbps and in-footprint.

Term:

New FIA service contract must be at least a 24 month term and existing FIA contracts must have a minimum of 24 months remaining of the term.

Customers must have Spectrum provided DFI service to order Wireless Internet Backup.

DDOS

DDOS Protection:

Term:

# of connections:

Ethernet

Transport Type:

Term:

Bandwidth:

Topology:

Hub or Spoke:

Taxation:

Circuit Type

Type II

Does this location have existing Ethernet Services?

Please select the appropriate response below to advise if the existing services should be disconnected or if the customer would like to maintain both services:

Promotions

Assess product(s) for applicable promotions & applyIf you know the Promo you want to use and it affects the MRC/NRC, fill out those fields appropriately.

Applicable promo name

Cloud Connect

Add On:

Term:

Cloud Service Provider:

Bandwidth:

Data Center:

Requires EPLAN for the Ethernet Topolgoy.

Data Center:

Requires EPLAN for the Ethernet Topolgoy.

Single / Dual:

Requires EPLAN for the Ethernet Topolgoy.

Managed Network Edge (MNE)

Managed Network Edge (MNE) Products:

Managed Network EdgeManaged Network WifiManaged Network SwitchManaged Network CameraManaged Network Edge for HospitalityManaged Network IoT SensorPlease fill out the text box below with the customer selections for switches, WiFi and / or Video equipment

Managed Network Additional Products:

Managed Network TeleworkerManaged Network Any ConnectAdvanced Offers - Insights

Bandwidth:

Term:

Is customer bringing their own network?:

High Availability?:

Virtual Edge Offering

vMX License Quantity:

Teleworker Equipment Quantity:

Any Connect License Quantity:

Minimum 25 licenses must be purchased

Advanced Offers - SD-WAN Plus?:

Options:

Insights Options?:

Device management?

Quantity:

Tell us about your Managed Network Edge Request:

Please be sure to include all pertinent information surrounding the MNE Request. Please include the customer selections for switches, WiFi and / or Video equipment.

Attachments:

Cloud Security

Cloud Security Products:

Cloud Security-CiscoIDM-Cisco

Cloud Security Additional Products:

Advanced SupportCloud Security DesignCloud Security Quickstart

License Type:

License Quantity:

Minimum of 10 for New

NOTE:

Must be sold with either:

MNE - 20 Mbps Minimum

ENE - 100 Mbps Minimum

License Type:

License Quantity:

Minimum of 10 for New

NOTE:

Must be sold with either:

MNE - 20 Mbps Minimum

ENE - 100 Mbps Minimum

Term:

Additional NRCs

Duo App Integration SmallDuo App Integration MediumDuo App Integration ComplexSecure Access Tel Credits (1000PK)

Tell us about your Cloud Security Request:

Attachments:

Enterprise Network Edge (ENE)

Enterprise Network Edge (MNE) Products:

Enterprise Network Edge (non virtual)Enterprise Network Virtual EdgeEnterprise Network SwitchEnterprise Network Edge WifiPlease fill out the text box below with the customer selections for switches, WiFi and / or Video equipment

Bandwidth:

Term:

Is customer bringing their own network?:

High Availability?:

License:

CPE:

Device Management?

Quantity:

Tell us about your Managed Network Edge Request:

Please be sure to include all pertinent information surrounding the MNE Request. Please include the customer selections for switches, WiFi and / or Video equipment.

Attachments:

Managed Wifi

Add On:

# of Access Points

Access Point Type:

Term:

Transport Type:

Promotions

Assess product(s) for applicable promotions & applyIf you know the Promo you want to use and it affects the MRC/NRC, fill out those fields appropriately.

Applicable promo name

Managed Network Services

Managed Security

Bandwidth:

Term:

Managed Router

Bandwidth:

Term:

Deployment

Advanced (1 Box Deployment)

Circuit Type

Type II

Customer Feedback

Who is the customer using for managed firewall, IPS/IDS and content filtering instead of Spectrum Enterprise?

Why do they prefer them over Spectrum Enterprise?

What is the monthly cost of their preferred provider?

Wavelength

Term:

Bandwidth:

Standard/ Diverse

Taxation:

Deployment

Type II

Circuit Type

Type III

Trunking

Trunking Product:

Is this a Centralized PBX:

Centralized PBXOnly available for new Trunking customers in L-TWC footprint.

Is this a Centralized PBX:

Hybrid (CPBX with CRC)Only available for new Trunking customers in L-TWC footprint.

Is this a Centralized PBX:

Cross Rate CenterOnly available for new Trunking customers in L-TWC footprint.

Is this a Centralized PBX:

Full Analog Lines over Fiber

Location Type:

Sales Support will need the Main and Remote Locations to properly process this request.

Quote Details

Call Path:

# of Analog lines:

Analog lines are supported over Fiber. This selection is not for Coax BCP lines.

Term:

Transport Type:

Included MOU:

Included DIDs:

Load Balancing?

MOU Sharing?

Does this location have existing Voice Services?

Please select the appropriate response below to advise if the existing services should be disconnected or if the customer would like to maintain both services:

Promotions

Assess product(s) for applicable promotions & applyIf you know the Promo you want to use and it affects the MRC/NRC, fill out those fields appropriately.

Applicable promo name

Telephone Number Information

Native or Port:

Native New - Selection for customers w/o existing TN's Native Spectrum Owned - Selection for customers where Charter currently owns the TN's (Please provide Acct# where number(s) currently reside.) Port - Selected for customers bringing their numbers from another provider Unknown - This selection will require additional comments prior to submission

LEC BTN:

Is this number out of the customer's current Rate Center?

Additional Add Ons and Features

Additional MOU:

Add'l DIDs:

RCF Needed:

Quantity:

e911 Location Plus:

Only available for L-TWC locations

Add'l Features

Hold ctrl for multiple selection

Toll Free Information

Toll Free:

Quantity:

Unified Communications

Request Type:

Contract Term:

TN Type:

LEC BTN:

Does this location have existing Voice Services?

Please select the appropriate response below to advise if the existing services should be disconnected or if the customer would like to maintain both services:

Tell us about your Unified Communications request:

Promotions

Assess product(s) for applicable promotions & applyIf you know the Promo you want to use and it affects the MRC/NRC, fill out those fields appropriately.

Applicable promo name

RingCentral

Request Type:

RC Super Admin:

Tell us about your RingCentral request:

PEG

Standard or High Definition:

Does the location have existing PEG?

Is existing PEG active?

Is the existing PEG in Granite?

What changes are being made?

Term:

Billing for PEG?

Rate:

Is the customer requesting multiple PEG Channels?

NOTE

A fully approved Government Affairs form is require for each location

Please attach the required fully approved Government Affairs form:

Complex Video

Fiber Connect Plus

Set Back Boxes

Spectrum U

Movie Beam

TVSA

Does this location have existing Video Services?

Please select the appropriate response below to advise if the existing services should be disconnected or if the customer would like to maintain both services:

Fiber Connect +

Architecture:

Programming:

MRC:

Term:

Public Room Ct:

Private Room Ct:

System Integrator?

Installation:

Waive install

Waivng NRC via Director ApprovalIf you know the Promo you want to use and it affects the MRC/NRC, fill out those fields appropriately.

Set Back Boxes

Product

Programming:

Term:

Non Bundled MRC:

Public Room Ct:

Private Room Ct:

Box Ct:

TVSA

Programming:

Term:

# of Doors/Rooms:

Spectrum U

Programming:

Term:

# of Doors/Rooms:

Provisioning Fee:

IPTV Fee

cDVR

Movie Beam

Service Level:

Term:

Add Ons:

Equipment:

Chromecast Equipment – (Must be equal to or less than total # of private outlets)

Headend Fee:

Standalone Casting Service:

This MRC is for the IPTV fee and is required.

Service Equipment::

Add Ons

Premium Channels

Hold ctrl for multiple selections

Premium Channels (Spec U/SBB):

Hold ctrl for multiple selections

Add Ons Public/B&R

Hold ctrl for multiple selections

Music Choice:

Channel Insertion:

Quantity:

Seasonal

Seasonal Term:

Enterprise Internet

Bandwidth:

Term:

Static IPs:

Market Type:

Simple Coax

Product Selection and Classification

Standard, B&R and Vert MSA?

Product(s)

InternetPhoneVideo

Wifi

Internet

Bandwidth:

Speeds based on service area availability

Term:

Static IPs:

Rate:

Subject to SBPP rules

Rate:

Subject to SBPP rules

Rate:

Subject to SBPP rules

MACD Request

Internet Upgrade

Courtesy Account:

Adding Courtesy ServicesRequires Regional to National Conversion, unless already in National.

Phone

Phone Quantity:

Term:

Toll Free:

RCF:

Native or Port:

Add'l Feature

Auto Attendant

Courtesy Account:

Adding Courtesy ServicesRequires Regional to National Conversion, unless already in National.

LEC BTN:

Directory Listing

Type:

Quantity:

Video

Packages:

Term:

Public/Private:

Rate:

Subject to SBPP rules

Rate:

Subject to SBPP rules

Receiver Qty:

Rcv'r Type

DVR

Cable Card:

Occupancy:

MACD Request

Upgrade

Courtesy Account

Adding Courtesy ServicesRequires Regional to National Conversion, unless already in National.

Add Ons

RSN Channels:

Add On

Music Choice

Add On

TV Tier Latino

Add On

Premium Channels

Add On

Business TV Variety

Additional Packages:

Hold ctrl for multiple selections

Franchise Complimentary Request Form:

Attach all Franchise forms here.

WebEx Meetings

License Type

Number of users:

Optional Features:

Special Product Details:

Strategic Markets

Account Number:

Tell us about your request:

Attachments:

Client Project Manager Information

Name

Phone Number

Note: This is the contact the Project Managers (PM) will engage post Sale Complete. This client will also receive an auto-generated email at Sale Complete & PM assignment providing PM name & contact info and detailing next steps. Sellers that provide this contact info can anticipate their clients engaging them less for order status and updates.

Optional Contact Information

Optional: If this request includes a New Install, It is a best practice to provide a technical/site Contact. This will aid in reducing the risk of rejection by implementation teams for Unable to Contact Customer.

Please include Name, Phone Number, and Email

Add a 2nd Location:

Service Location 2

Location Information

Existing Location:

Is this request for a Site Survey Only?:

Service Location URL/Account #:

Add to Existing Hierarchy?:

Hierarchy ID:

Service Location

Street Address:

Suite #:

City:

State:

Zip Code:

Site Survey Information

Enterprise Product(s) to survey for:

DFI	Ethernet (DOCSIS)
Ethernet (FIBER)	Wavelength
Enterprise Trunking (PRI)	PRI Trunk - DOCSIS
Enterprise Trunking (SIP)	SIP Trunking - DOCSIS
Fiber Connect Plus	Fiber Connect Plus - Remote PHY
Fiber Connect Plus - IP Handoff	Set Back Box
SBB-IP Delivery	TV Streaming Access
HSD	Hosted Communications

SMB Product(s) to survey for:

Bulk HSD	HSD
Bulk BCP	Business Class Phone
Video

Diversity?

Request Trunking Survey

Trunking Survey Only

Type of Physical Diversity Needed?

Customer Technical Contact First Name:

The Technical contact is customer's point of contact to assist with the survey and any additional technical questions.

Customer Technical Contact Last Name:

The Technical contact is customer's point of contact to assist with the survey and any additional technical questions.

Technical Contact Phone #:

Technical Contact Email:

Special Survey Instructions:

Products

Product(s)

DFI	Secure Dedicated Fiber Internet
DDOS	Ethernet
Trunking	Unified Communications
Complex Video	Cloud Connect (existing Ethernet)
MNS (standalone)	Managed Wifi (standalone)
Simple Coax	Wireless Internet
Wireless Internet Backup	Product Not listed
Managed Network Edge (MNE)	Enterprise Network Edge
PEG	Webex Meetings
Wavelength	SMB National Coax

Rate Card / Special Pricing / MSA?

Diversity?

Special Pricing Form:

NOTE:

If special pricing is requested and no form is attached, Sales Support will default to Rate Card pricing until approved Special Pricing form is provided.

Tell us about the Product you are selling:

Special Product Details:

DFI

Bandwidth:

Term:

# of Static IPs:

Circuit Type

Type IIType III - DFIFinished Internet - HSD

Does this location have existing Data/HSD Services?

Please select the appropriate response below to advise if the existing services should be disconnected or if the customer would like to maintain both services:

Promotions or Quick Connect

Assess product(s) for applicable promotions & applyCustomer qualifies for Quick ConnectIf you know the Promo you want to use and it affects the MRC/NRC, fill out those fields appropriately.

Secure Dedicated Fiber Internet

Bandwidth:

Term:

# of Static IPs:

Circuit Type

Type IIType III

Does this location have existing Data/HSD Services?

Please select the appropriate response below to advise if the existing services should be disconnected or if the customer would like to maintain both services:

Promotions or Quick Connect

Assess product(s) for applicable promotions & applyCustomer qualifies for Quick ConnectIf you know the Promo you want to use and it affects the MRC/NRC, fill out those fields appropriately.

Wireless Internet

Term

Alert:

Requires 10 or more locations with the same Wireless Internet Essential Plan.

Wireless Internet Backup

Wireless Internet Backup:

Wireless Internet Backup can only be ordered with an associated Spectrum FIA connection that is less than or equal to 100 Mbps and in-footprint.

Term:

New FIA service contract must be at least a 24 month term and existing FIA contracts must have a minimum of 24 months remaining of the term.

Customers must have Spectrum provided DFI service to order Wireless Internet Backup.

DDOS

DDOS Protection:

Term:

# of connections:

Ethernet/Wavelength

Transport Type:

Term:

Bandwidth:

Topology:

Hub or Spoke:

Taxation:

Circuit Type

Type II

Does this location have existing Ethernet Services?

Please select the appropriate response below to advise if the existing services should be disconnected or if the customer would like to maintain both services:

Promotions

Assess product(s) for applicable promotions & applyIf you know the Promo you want to use and it affects the MRC/NRC, fill out those fields appropriately.

Cloud Connect

Add On:

Term:

Cloud Service Provider:

Bandwidth:

Data Center:

Requires EPLAN for the Ethernet Topolgoy.

Data Center:

Requires EPLAN for the Ethernet Topolgoy.

Single / Dual:

Requires EPLAN for the Ethernet Topolgoy.

Managed Network Edge (MNE)

Managed Network Edge (MNE) Products:

Managed Network EdgeManaged Network WifiManaged Network SwitchManaged Network CameraManaged Network Edge for HospitalityPlease fill out the text box below with the customer selections for switches, WiFi and / or Video equipment

Managed Network Additional Products:

Managed Network TeleworkerManaged Network Any Connect

Bandwidth:

Term:

Is customer bringing their own network?:

High Availability?:

Virtual Edge Offering:

vMX License Quantity:

Teleworker Equipment Quantity:

Any Connect License Quantity:

Minimum 25 license must be purchased

Tell us about your Managed Network Edge Request:

Please be sure to include all pertinent information surrounding the MNE Request

Attachments:

Enterprise Network Edge (ENE)

Enterprise Network Edge (ENE) Products:

Enterprise Network Edge (non virtual)Enterprise Network Virtual EdgeEnterprise Network SwitchPlease fill out the text box below with the customer selections for switches. WiFi and / or Video equipment

Bandwidth:

Term:

Is customer bringing their own network?

High Availability?

License:

CPE:

Tell us about your Managed Network Edge Request:

Please be sure to include all pertinent information surrounding the MNE Request. Please include the customer selections for switches, WiFi and / or Video equipment.

Attachments:

Managed Wifi

Add On:

# of Access Points

Access Point Type:

Term:

Transport Type:

Promotions

Assess product(s) for applicable promotions & applyIf you know the Promo you want to use and it affects the MRC/NRC, fill out those fields appropriately.

Managed Network Services

Managed Security

Bandwidth:

Term:

Managed Router

Bandwidth:

Term:

Deployment

1 Box Deployment

Circuit Type

Type II

Customer Feedback

Who is the customer using for managed firewall, IPS/IDS and content filtering instead of Spectrum Enterprise?

Why do they prefer them over Spectrum Enterprise?

What is the monthly cost of their preferred provider?

Wavelength

Term:

Bandwidth:

Standard / Diverse:

Taxation:

Type II

Type III

Trunking

Trunking Product:

Is this a Centralized PBX:

Centralized PBXOnly available for new Trunking customers in L-TWC footprint.

Location Type:

Sales Support will need the Main and Remote Locations to properly process this request.

Quote Details

Call Path:

# of Analog Lines:

Analog lines are supported over Fiber. This selection is not for Coax BCP lines.

Term:

Transport Type:

Included MOU:

Included DIDs:

Load Balancing?

MOU Sharing?

Does this location have existing Voice Services?

Please select the appropriate response below to advise if the existing services should be disconnected or if the customer would like to maintain both services:

Promotions

Assess product(s) for applicable promotions & applyIf you know the Promo you want to use and it affects the MRC/NRC, fill out those fields appropriately.

Telephone Number Information

Native or Port:

LEC BTN:

Is this number out of the customer's current Rate Center?

Additional Add Ons and Features

Additional MOU:

Add'l DIDs:

RCF Needed:

Quantity:

e911 Location Plus:

Only available for L-TWC locations

Add'l Features

Hold ctrl for multiple selection

Toll Free Information

Toll Free:

Quantity:

Unified Communications

Request Type:

TN Type:

LEC BTN:

Tell us about your Unified Communications request:

Does this location have existing Voice Services?

Please select the appropriate response below to advise if the existing services should be disconnected or if the customer would like to maintain both services:

Promotions

Assess product(s) for applicable promotions & applyIf you know the Promo you want to use and it affects the MRC/NRC, fill out those fields appropriately.

PEG

Standard or High Definition:

Does the location have existing PEG?

Is existing PEG active?

Is the existing PEG in Granite?

What changes are being made?

Term:

Billing or PEG?

Rate:

Is the customer requesting multiple PEG Channels?

Note

A fully approved Government Affairs form is required for each location

Please attach the required fully approved Government Affairs form:

Complex Video

Fiber Connect Plus

Set Back Boxes

Spectrum U

Movie Beam

TVSA

Does this location have existing Video Services?

Please select the appropriate response below to advise if the existing services should be disconnected or if the customer would like to maintain both services:

Fiber Connect +

Architecture:

Programming:

Term:

Public Room Ct:

Private Room Ct:

System Integrator:

Installation:

Waive install

Waivng NRC via VP ApprovalIf you know the Promo you want to use and it affects the MRC/NRC, fill out those fields appropriately.

Set Back Boxes

Product

Programming:

Term:

MRC:

Public Room Ct:

Private Room Ct:

Box Ct:

TVSA

Programming:

Term:

# of Doors/Rooms:

Spectrum U

Programming:

Term:

# of Doors/Rooms:

Provisioning Fee:

IPTV Fee

cDVR

Movie Beam

Service Level:

Term:

Add Ons:

Equipment:

Chromecast Equipment – (Must be equal to or less than total # of private outlets)

Headend Fee:

Standalone Casting Service:

Service Equipment:

Add Ons

Premium Channels

Hold ctrl for multiple selections

Premium Channels (Spec U/SBB):

Hold ctrl for multiple selections

Add Ons Public/B&R

Hold ctrl for multiple selections

Music Choice:

Channel Insertion:

Quantity:

Seasonal

Seasonal Term:

Simple Coax

Product Selection and Classification

Standard, B&R and Vert MSA?

Product(s)

InternetPhoneVideo

Wifi

Internet

Bandwidth:

Speeds based on service area availability

Term:

Static IPs:

Rate:

Subject to SBPP rules

Rate:

Subject to SBPP rules

Rate:

Subject to SBPP rules

MACD Request

Internet Upgrade

Courtesy Account:

Adding Courtesy ServicesRequires Regional to National Conversion, unless already in National.

Phone

Phone Quantity:

Term:

Toll Free:

RCF:

Native or Port:

Add'l Feature

Auto Attendant

Courtesy Account:

Adding Courtesy ServicesRequires Regional to National Conversion, unless already in National.

LEC BTN:

Directory Listing

Type:

Quantity:

Video

Packages:

Term:

Public/Private:

Rate:

Subject to SBPP rules

Rate:

Subject to SBPP rules

Receiver Qty:

Rcv'r Type

DVR

Cable Card:

Occupancy:

MACD Request

Upgrade

Courtesy Account

Adding Courtesy ServicesRequires Regional to National Conversion, unless already in National.

Add Ons

RSN Channels:

Add On

Music Choice

Add On

TV Tier Latino

Add On

Premium Channels

Add On

Business TV Variety

Additional Packages:

Hold ctrl for multiple selections

WebEx Meetings

License Type:

Number of Users:

Optional Features:

Add a 3rd Location:

Service Location 3

Location Information

Existing Location:

Is this request for a Site Survey Only?:

Service Location URL/Account #:

Add to Existing Hierarchy?:

Hierarchy ID:

Service Location

Street Address:

Suite #:

City:

State:

Zip Code:

Site Survey Information

Enterprise Product(s) to survey for:

DFI	UC (Fiber)
UC ( DOCSIS)	Ethernet (DOCSIS)
Ethernet (Fiber)	Enterprise Trunking (PRI)
PRI Trunk - DOCSIS	Enterprise Trunking (SIP)
SIP Trunking - DOCSIS	Fiber Connect Plus
Fiber Connect Plus - Remote PHY	Fiber Connect Plus - IP Handoff
SBB-IP Delivery	Set Back Box
TV Streaming Access	Wavelength

SMB Product(s) to survey for:

Bulk HSD	HSD
Bulk BCP	Business Class Phone
Video

Diversity

Request Trunking Survey

Trunking Survey Only

Technical Contact same as above:

Type of Physical Diversity Needed?

Customer Technical Contact First Name:

The Technical contact is customer's point of contact to assist with the survey and any additional technical questions.

Customer Technical Contact Last Name:

The Technical contact is customer's point of contact to assist with the survey and any additional technical questions.

Technical Contact Phone #:

Technical Contact Email:

Special Instructions:

Products

Product(s)

DFI	Secure Dedicated Fiber Internet
DDOS	Ethernet
Trunking	Unified Communications
Complex Video	Cloud Connect (existing Ethernet)
MNS (standalone)	Managed Wifi (standalone)
Simple Coax	Product Not listed
Wireless Internet Backup	Wireless Internet
Managed Network Edge (MNE)	PEG
Enterprise Network Edge	WebEx Meetings
Wavelength	SMB National Coax

Rate Card / Special Pricing / MSA:

Diversity?

Discretionary Pricing?

Use Discretionary pricing where available

Special Pricing Form:

NOTE:

If special pricing is requested and no form is attached, Sales Support will default to Rate Card pricing until approved Special Pricing form is provided.

Tell us about the Product you are selling:

Special Product Details:

DFI

Bandwidth:

Term:

# of Static IPs:

Circuit Type

Type IIType III - DFIFinished Internet - HSD

Does this location have existing Data/HSD Services?

Please select the appropriate response below to advise if the existing services should be disconnected or if the customer would like to maintain both services:

Promotions or Quick Connect

Assess product(s) for applicable promotions & applyCustomer qualifies for Quick ConnectIf you know the Promo you want to use and it affects the MRC/NRC, fill out those fields appropriately.

Secure Dedicated Fiber Internet

Bandwidth:

Term:

# of Static IPs:

Circuit Type

Type IIType III

Does this location have existing Data/HSD Services?

Please select the appropriate response below to advise if the existing services should be disconnected or if the customer would like to maintain both services:

Promotions or Quick Connect

Assess product(s) for applicable promotions & applyCustomer qualifies for Quick ConnectIf you know the Promo you want to use and it affects the MRC/NRC, fill out those fields appropriately.

Wireless Internet

Term

Alert:

Requires 10 or more locations with the same Wireless Internet Essential Plan.

Wireless Internet Backup

Wireless Internet Backup:

Wireless Internet Backup can only be ordered with an associated Spectrum FIA connection that is less than or equal to 100 Mbps and in-footprint.

Term:

New FIA service contract must be at least a 24 month term and existing FIA contracts must have a minimum of 24 months remaining of the term.

Customers must have Spectrum provided DFI service to order Wireless Internet Backup.

DDOS

DDOS Protection:

Term:

# of connections:

Ethernet

Transport Type:

Term:

Bandwidth:

Topology:

Hub or Spoke:

Taxation:

Circuit Type

Type II

Does this location have existing Ethernet Services?

How long will they be maintained?

Promotions

Assess product(s) for applicable promotions & applyIf you know the Promo you want to use and it affects the MRC/NRC, fill out those fields appropriately.

Wavelength

Term:

Bandwidth:

Standard / Diverse

Taxation:

Circuit Type

Type II

Circuit Type

Type III

Cloud Connect

Add On:

Term:

Cloud Service Provider:

Bandwidth:

Data Center:

Requires EPLAN for the Ethernet Topolgoy.

Data Center:

Requires EPLAN for the Ethernet Topolgoy.

Single / Dual:

Requires EPLAN for the Ethernet Topolgoy.

Managed Network Edge (MNE)

Managed Network Edge (MNE) Products:

Managed Network Edge Additional Products:

Managed Network TeleworkerManaged Network Any Connect

Bandwidth:

Term:

Is customer bringing their own network?:

High Availability?:

Virtual Edge Offering:

vMX License Quantity:

Teleworker Equipment Quantity:

Any Connect Quantity:

Minimum 25 licenses must be purchased

Tell us about your Managed Network Edge Request:

Please be sure to include all pertinent information surrounding the MNE Request

Attachments:

Enterprise Network Edge (ENE)

Enterprise Network Edge (ENE) Products:

Enterprise Network Edge (non virtual)Enterprise Network Virtual EdgeEnterprise Network SwitchPlease fill out the text box below with the customer selections for switches, WiFi and / or Video equipment

Bandwidth:

Term:

Is customer bringing their own network?:

License:

CPE:

Tell us about your Request:

Please be sure to include all pertinent information surrounding the MNE Request

Attachments:

Managed Wifi

Add On:

# of Access Points

Access Point Type:

Term:

Transport Type:

Promotions

Assess product(s) for applicable promotions & applyIf you know the Promo you want to use and it affects the MRC/NRC, fill out those fields appropriately.

Managed Network Services

Managed Security

Bandwidth:

Term:

Managed Router

Bandwidth:

Term:

Deployment

1 Box Deployment

Circuit Type

Type II

Customer Feedback

Who is the customer using for managed firewall, IPS/IDS and content filtering instead of Spectrum Enterprise?

Why do they prefer them over Spectrum Enterprise?

What is the monthly cost of their preferred provider?

Trunking

Trunking Product:

Is this a Centralized PBX:

Centralized PBXOnly available for new Trunking customers in L-TWC footprint.

Location Type:

Sales Support will need the Main and Remote Locations to properly process this request.

Quote Details

Call Path:

# of Analog Lines:

Analog lines are supported over Fiber. This selection is not for Coax BCP lines.

Term:

Transport Type:

Included MOU:

Included DIDs:

Load Balancing?

MOU Sharing?

Does this location have existing Voice Services?

How long will they be maintained?

Promotions

Assess product(s) for applicable promotions & applyIf you know the Promo you want to use and it affects the MRC/NRC, fill out those fields appropriately.

Telephone Information

Native or Port:

LEC BTN:

Is this number out of the customer's current Rate Center?

Additional Add Ons and Features

Additional MOU:

Add'l DIDs:

RCF Needed:

Quantity:

e911 Location Plus:

Only available for L-TWC locations

Add'l Features

Hold ctrl for multiple selection

Toll Free Information

Toll Free:

Quantity:

Unified Communications

Request Type:

TN Type:

LEC BTN:

Tell us about your Unified Communications request:

Does this location have existing Voice Services?

How long will they be maintained?

Promotions

Assess product(s) for applicable promotions & applyIf you know the Promo you want to use and it affects the MRC/NRC, fill out those fields appropriately.

Complex Video

Fiber Connect Plus

Set Back Boxes

Spectrum U

Movie Beam

TVSA

Does this location have existing Video Services?

How long will they be maintained?

Fiber Connect +

Architecture:

Programming:

Term:

Public Room Ct:

Private Room Ct:

System Integrator:

Installation:

Waive install

Waivng NRC via VP ApprovalIf you know the Promo you want to use and it affects the MRC/NRC, fill out those fields appropriately.

Set Back Boxes

Product

Programming:

Term:

Public Room Ct:

Private Room Ct:

Box Ct:

Spectrum U

Programming:

Term:

# of Doors/Rooms:

Provisioning Fee:

IPTV Fee

cDVR

TVSA

Programming:

Term:

# of Doors/Rooms:

Movie Beam

Service Level:

Term:

Add Ons:

Equipment:

Chromecast Equipment – (Must be equal to or less than total # of private outlets)

Headend Fee:

Standalone Casting Service:

Service Equipment:

Add Ons

Premium Channels

Hold ctrl for multiple selections

Premium Channels (Spec U/SBB):

Hold ctrl for multiple selections

Add Ons Public/B&R

Hold ctrl for multiple selections

Music Choice:

Channel Insertion:

Quantity:

Seasonal

Seasonal Term:

Simple Coax

Product Selection and Classification

Standard, B&R and Vert MSA?

Product(s)

InternetPhoneVideo

Wifi

E-Rate has been selected. Sales Support will build all coax products using E-Rate SBPP. Please note that a billing conversion may be required prior to account modifications .

Internet

Bandwidth:

Speeds based on service area availability

Term:

Static IPs:

Rate:

Subject to SBPP rules

Rate:

Subject to SBPP rules

Rate:

Subject to SBPP rules

MACD Request

Internet Upgrade

Courtesy Account:

Adding Courtesy ServicesRequires Regional to National Conversion, unless already in National.

Phone

Phone Quantity:

Term:

Toll Free:

RCF:

Native or Port:

Add'l Feature

Auto Attendant

Courtesy Account:

Adding Courtesy ServicesRequires Regional to National Conversion, unless already in National.

LEC BTN:

Directory Listing

Type:

Quantity:

Video

Packages:

Term:

Public/Private:

Rate:

Subject to SBPP rules

Rate:

Subject to SBPP rules

Receiver Qty:

Rcv'r Type

DVR

Cable Card:

Occupancy:

MACD Request

Upgrade

Courtesy Account

Adding Courtesy ServicesRequires Regional to National Conversion, unless already in National.

Add Ons

RSN Channels:

Add On

Music Choice

Add On

TV Tier Latino

Add On

Premium Channels

Add On

Business TV Variety

Additional Packages:

Hold ctrl for multiple selections

Contact Information