NGD WARRIORS
Either you sell or the Customer sells you. Choice is yours!
Agent Name
*
Agent Email
*
Customer Name
*
Customer Number on Order Placed
*
Install Date
*
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Month
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Day
Year
Date Picker Icon
CONFIRMATION NUMBER
*
TYPE OF SALE
*
Directv UPFRONT $50 non Refund.
Directv UPFRONT $50 non Refund.with ATNT
Directv UPFRONT $50 non Refund. WITH CENTRUY LINK
Directv WITH CENTRUY LINK
Directv (Zero Star) PLUS CENTURYLINK
Directv 1 Stars-5 Stars PLUS HUGHESNET
Directv (Zero Star)
Directv (Zero Star) PLUS ATNT
Directv 1 Stars-5 Stars
Directv 1 Stars-5 Stars PLUS ATNT
Exede Internet
Exede Internet and Phone
VIVNT HOME VIDEO
VIVNT BASIC PACKAGE
windstream Consumer Solo
Frontier ( Please Write in DATA which Package)
(Spectrum) High Speed Internet
(Spectrum) Single Play Video
(Spectrum) Single Play Voice
(Spectrum) Internet/phone
(Spectrum) Internet/Video
(Spectrum) Triple Plays
Directv Portal Bundle Internet Confirmation
Remarks
I understand all above information (Including SSN and Credit Card Number) is absolutely correct and is as per provided by customer over the phone call. I also understand this information is to be protected & that i will be paid on Installed sales
*
I agree
SOLD!
Should be Empty: