Customer Email* (E.G. NAME@EMAIL.COM FORMAT):
REQUESTED FOLLOW-UP DATE (e.g. mm/dd/yyyy format)
Is this an existing Cox customer?*
EXISTING CUSTOMERS* Cox ICOMS Account # (Located in the OPTIX Billing ID/CABS field associated with the Bundle Service Promotion - MUST be format 000-0000000-00 format, enter 000-0000000-00 if unknown)
NEW PROSPECTS*Cox OPTIX Account ID # (Enter OPTIX Account ID # associated with new - MUST be format 0000000 format, enter 0000000 if unknown)
Important: The Cox ICOMS Account # or the Cox OPTIX Account ID # is required for processing the customer's MRC Promotion Code associated with the Bundled Service Promotion.
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