Please fill out the following information for our records. Your input is valuable to us.
Please select today's date.
Please enter your full name, including your middle name if applicable.
Please enter your email address.
Rate your satisfaction with the current deal from 1 (not satisfied) to 10 (very satisfied).
What are your primary reasons for seeking a renegotiation? (Select all that apply)
What is your preferred outcome for this negotiation?
Are you considering deals with our competitors? If yes, please specify.
Attach any relevant documents that can assist in the renegotiation process.
Would you like a representative to follow up with you?
Please provide any additional comments or questions related to the deal renegotiation.
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