Today's Date:
*
-
Month
-
Day
Year
What Is Your Name:
*
What Is Your Store:
*
Please Select
Bourbonnais Xfinity Store
Cicero Xfinity Store
Dekalb Xfinity Store
Elkhart Xfinity Store
Evanston Xfinity Store
Evergreen Park Xfinity Store
Frankfort Xfinity Store
Glenview Xfinity Store
Hammond Xfinity Store
Kildeer Xfinity Store
Schererville Xfinity Store
Skokie Xfinity Store
Tinley Park Xfinity Store
Uptown Xfinity Store
Valparaiso Xfinity Store
DM Submission
Customer's Reward Status:
*
Silver
Gold
Platinum
Diamond
Pick A Device To Upgrade:
What Phone Is Your Customer Interested In?
*
Please Select
Apple iPhone 17 Pro Max
Apple iPhone 17 Pro
Apple iPhone 16 Pro Max
Apple iPhone Air
Apple iPhone 15 Pro Max
Apple iPhone 16 Pro
Apple iPhone 17
Apple iPhone 16 Plus
Apple iPhone 15 Plus
Apple iPhone 16
Apple iPhone 15
Apple iPhone 16e
Apple iPhone 14
Samsung Galaxy Z Fold7
Samsung Galaxy Z Fold 6
Samsung Galaxy S25 Ultra
Samsung Galaxy Z Flip 6
Samsung Galaxy Z Flip7
Samsung Galaxy S25 Edge
Samsung Galaxy S25+
Samsung Galaxy Z Flip7 FE
Samsung Galaxy S25
Samsung Galaxy S24 FE
Samsung Galaxy A36 5G
Samsung Galaxy A26 5G
Samsung Galaxy A16 5G
Google Pixel 9
Google Pixel 9 Pro
Google Pixel 9 Pro Fold
Google Pixel 9 Pro XL
Google Pixel 9
Moto razr - 2025
moto g - 2025
Motorola Edge - $299.00
Total Device Cost:
Monthly Cost
Promotions For The Elite Upgrade:
TIPS Trade In Tool:
Type the phone in the box above to see the TIPS Trade In Value For the phone your customer is looking to trade in.
What Promotions Would Your Customer Qualify For With The Elite Upgrade?
*
Please Select
$400 Off - Elite Upgrade
$450 Off - TIPS Trade In
$500 Off - TIPS Trade In
$600 Off - TIPS Trade In
$700 Off - TIPS Trade In
$1100 Off - TIPS Trade In
Promo Discounts Calculations:
Bundle Your Upgrade With A Watch:
Pick A Watch To Bundle With The Upgrade:
*
Please Select
Apple Watch SE 3 40MM
Apple Watch SE 3 44MM
Apple Watch Ultra 3
Apple Watch Ultra 2
Apple Watch Series 10 46MM
Apple Watch Series 11 44MM
Apple Watch Series 10 42MM
Apple Watch Series 11 42MM
Galaxy Watch Ultra 47MM
Google Pixel Watch 3 45MM
Galaxy Watch 6 Classic 47MM
Galaxy Watch 6 Classic 43MM
Google Pixel Watch 3 41MM
Galaxy Watch 7 44MM
Galaxy Watch 6 40 MM
Galaxy Watch 7 40MM
Xfinity Rewards Discounts:
*
Please Select
$150 Off Silver Customer Reward
$150 Off Gold Customer Reward
$300 Platinum Customer Reward
$300 Diamond Customer Reward
Watch Cost Before Promos:
Watch Discount Calculations:
Watch Line Fee:
Watch Line Fee:
Watch Cost After Discounts:
Total Cost For The Bundle:
Monthly Payments For The Bundle:
Total Monthly Cost For The Bundle:
Follow Up Information (Optional):
If You Would Like To Follow Up With Your Customer, Type Your Blufox Email Here:
example@blufoxmobile.com
Customer's First Name:
Customer's Cell Phone Number:
Customer's Email:
Notes:
Preview The Form Below To SHOW YOUR CUSTOMER:
Did you sell this lead by using the Mobile Quick Sheet on the spot?
*
Please Select
Yes
No
Only submit "Yes" if your customer is leaving the store right now with Xfinity Mobile. We are looking to track on the spot sales by using the Whole Home Solution.
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