TIME AND MATERIALS REQUEST FORM

Cross will perform out of service/break fix Time and Material (T&M) services for customers with a pre-paid CrossNet Complete Support Services contract. T&M charge will be deducted from the CrossNet Complete hours at Cross’ current exchange rate. Please Click Here to enter a service request if you are a Cross maintenance customer or have a CrossNet Complete Support Services contract. If you are not a Cross maintenance or CrossNet Complete Support Services customer, please contact your Cross Account Executive for information and pricing.

Please do not provide credit card information on this form, enter ‘CC Payment’ in the PO field. You will be contacted for credit card information upon invoicing.

Are you a current Cross customer? *  
           Request Type: *  
Will you need Equipment, Software, or Licenses? *  
Cross Account Executive:
Company: *  
First Name: *  
Last Name: *  
E-mail: *    
Phone: *  
Address: *  
City: *  
State: *  
ZIP Code: *  
Sold To Number (if known):
P.O. Number (if required):
PLEASE DO NOT PROVIDE CREDIT CARD INFORMATION ON THIS FORM
Details: *
 
Address where the work will be performed:
*  
Work City: *  
Work State: *  
Work ZIP Code: *  
Onsite Contact Name (if different):
Onsite Contact Email:
Onsite Contact Telephone:  
Communication Server/Telephone System: *  
Service Type: *  
Service Provider/Vendor:
Special Handling Instructions (ex: Access, Hours & Other Billing Info) :
Requested Due Date:
 
 
  I have reviewed and accept the Cross T&M Terms and Conditions.  


The fields marked as * are mandatory