Manufacturer Settlement Intake Form
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
Reporting and Research Requests
System Requests
Training/Product Information
Other
Request Reason
Please select...
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
Coupon Settlement Reporting Request
Deduction Backup/Research
PAL/Category
Research Question
ISA Users
Client ISA Training
Knowledge Base Request
Offer Entry Training
Product Information
Promotions Performance Analytics Training
Other
Offer Code(s)
Comments
Attachments
Attachments are limited to a total of 35MB.
