NOTE:
Please do not submit more than one case for a request
NOTE:
This form is for US-based clients only
Company Name
Contact Name
Contact Email
Choose Product
Please select...
Manufacturer Coupon Settlement
Consumer Rebate Solutions
Retailer Settlement
Consumer Care Solutions
Client Request
Please select...
Billing/Invoice/Contract Questions
Offer Set Up/Maintenance - Consumer Care
Reporting and Research Requests - Consumer Care
System Requests - Consumer Care
Training/Product Information - Consumer Care
Other
Billing/Invoice/Contract Questions
Offer Set Up/Maintenance
Reporting and Research Requests
System Requests
Training/Product Information
Other
Fees/Contract Questions
Offer Questions
Reporting and Research Requests - Retailer
System Requests - Retailer
Training/Product Information - Retailer
Other
Billing/Invoice/Contract Questions
Offer Set Up/Maintenance - Rebate
Reporting and Research Requests - Rebate
System Requests - Rebate
Training/Product Information - Rebate
Other
Request Reason
Please select...
Client Web App Training
Knowledge Base Request
Product Information
Promotions Performance Analytics Training
Add/Update/Delete Store(s)
Delete Existing User from Web App
New User Web App Access
Password Reset/Locked Out
Chargeback Question
Missing Shipment
Reporting Question
Store Value Overage/Shortage Question
Client Web App Training
Product Information
Delete Existing User from Web App
New User Web App Access
Password Reset/Locked Out
Rebate Reporting Request
Research Question
Existing Offer Maintenance (changes to offer)
New Offer Set up
New Product/UPC List for Validation
Other
Client Web App Training
Product Information
Delete Existing User from Web App
New User Web App Access
Password Reset/Locked Out
Consumer Care Payment Reporting Request
Research Question
Existing Offer Maintenance (changes to offer)
New Offer Set up
Other
Contract/Schedule Page Questions
Invoice Inquiry
Barcode Issue
Existing Offer Maintenance (changes to offer)
Family Codes
Fraud/Counterfeit Issue
New Offer Set up/Bar Code Requests
Verification Validation Coupon Request
Other
Business Review
Coupon Settlement Reporting Request
Deduction Backup/Research
PAL/Category
Research Question
Delete Existing User from Web App
New User Web App Access
Password Reset/Locked Out
Security Level Access Change
Client Web App Training
Knowledge Base Request
Offer Entry Training
Product Information
Promotions Performance Analytics Training
Contract/Schedule Page Questions
Payment Inquiry
Processing Fee Questions
Suspect Counterfeit Coupon Verification
POS Coupon Scanning Issue
Other
Comments
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