BTR SF Sales Order

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Sales Order From

• Select date

  Date

• Sales Representative

  Sales 1

  Sales 2

  Sales 3

• Sales 1 Phone Number

• Sales 2 Phone Number

• Sales 3 Phone Number

• Customer Address
  Address

• ICOMS Account Number

Order Information

• Order Type

  New Service

  Transfer Service

  Upgrade Service

• Cox Advanced TV

  Select TV Starter TV Expanded TV Essential TV Preferred TV Premier TV Ultimate

  • TV Starter
  • TV Expanded
  • TV Essential
  • TV Preferred
  • TV Premier
  • TV Ultimate

• Standard Definition Boxes

• High Definition Boxes

• DVR Boxes

• Whole Home DVR Host Boxes

• Whole Home DVR Client Boxes

• Cox High Speed Internet

  CHSI Starter

  CHSI Essential

  CHSI Preferred

  CHSI Premier

  CHSI Ultimate

• Modem Required

  Select Customer Owned Cox Modem (Purchased) Cox Modem (Rented) Cox Gateway (Purchased) Cox Gateway (Rented) Cox eMTA (Phone Service Required) Cox eMTA Voice Gateway (Phone Service Required)

  • Customer Owned
  • Cox Modem (Purchased)
  • Cox Modem (Rented)
  • Cox Gateway (Purchased)
  • Cox Gateway (Rented)
  • Cox eMTA (Phone Service Required)
  • Cox eMTA Voice Gateway (Phone Service Required)

• Cox Digital Telephone

  CDT Essential

  CDT Premier

• Phone Number

  Cox Issued Phone Number

  Ported Phone Number

• New Phone Number

• Phone Number Being Ported

• Promotions

Order Confirmation

• Price including taxes after promotion ends (if applicable)

• Price including taxes during promtion (If applicable)

• Install Scheduled Date

  Date

• Install Scheduled Time

  Select All Day 8am - 10am 10am - 12pm 1pm - 3pm 3pm - 5pm 5pm - 7pm

  • All Day
  • 8am - 10am
  • 10am - 12pm
  • 1pm - 3pm
  • 3pm - 5pm
  • 5pm - 7pm

• Customer Signature

  Sign

• Customer Name