MDU Client Request Form

This form should be utilized to contact Sales Support to process Change & Downgrade requests

Sales Support will follow up with the Client within 24 hours of contact

Change Request Type

Submitters Information

Submitters Name

Submitters E-mail Address

Enterprise Client Servies

Full Account Disconnects and Disconnects of a Line of Business (LOB) are completed by Client Services following the BAU engagement/processes

SCS Sales

Move (New Term), Add, or Renewal of existing Enterprise products is not permitted.

Clients requesting a New Location, New Line of Business, Renewal, and a Move with Renewal will be processed through Community Solutions.

Community Solutions must be engaged through the Territory Management Request Form.

Sales Support

Client POC Name

Client E-mail Address

Client Phone Number

Billing Account Number

Local & Technical Contact Info

Local Contact Name

Local Contact Phone #

Technical Contact Name

Technical Contact Phone #

Salesforce Link

Is the Client POC the Local or Technical Contact

Request Details

Attachments

Contact Information