Need a billing code? Fill out the form below to obtain one! Request a billing code To obtain a new billing code, please fill out this form and submit. Your Name/Contact Info* Please provide your name and contact information. Product* What is the product?Product Type*ExistingNewIs this a new product or replacing a product?Bundled OfferingYesNoAre other products going with this/is this a bundled offering?If bundled* What are the other products going with this?Area*AllILECCLECNorvado WestNorvado EastWhat geographic area(s) does this product apply to?Product Line*VoiceVideoInternetSecurityOtherWhat product line does this fall into?Business/Residential*ResidentialBusinessBothIs it available for Residential, Business or both?Price* Enter MSRPLimited Time Code*YesNoIs this a Promo only available for a limited time?If yes to Limited Time Code Please provide the length of time. If a promotional offer code Please provide the name of the promotional offer. Code Type*DiscountStandard PricingIs this is a discount code or a standard pricing code?Fixed or Variable AmountFixedVariableIf a discount code, is it for a fixed amount or is it a variable amount?Tracking*YesNoWill code need to be tracked for sales?Code Name* What should the consumer facing code be named?Taxable*YesNoIs this product taxable?Revenue Group What revenue group should this product be attributed to? This is for accounting. Code Type 2*RecurringNon-recurringIs this a recurring on non-recurring code?NotesPlease provide details regarding the requested code.