charter contract buyout form

Contract Buyout Form
Welcome to Spectrum! We look forward to servicing all of your communication and
entertainment needs. Please follow the 3 easy steps below to receive your check.
Step 1: Install the Spectrum Triple Play (TV, Internet, and Phone)
Step 2: Complete the “Contract Buyout Form” below
Step 3: Send an email with the following information to [email protected]
• Copy of the entire final bill from previous provider with early termination fees,
account holder name and service address clearly marked
• Completed “Contract Buyout Form”
Upon receipt of the forms and verification of eligibility, a check in the amount equal to the early
termination fee charged by your previous provider on your bill (not to exceed $500), will be
mailed to your Spectrum service address.
©Charter Communications. Offer available to qualifying customers only, who have not subscribed to Spectrum TV services within the previous 30 days and have no outstanding
obligations to Charter, Time Warner Cable or Bright House Networks. Forms must be received within 60 days of installation of the Spectrum TV, Internet and Voice services.
Check amount will be determined by the early termination fee on the final bill from the previous providers, not to exceed $500. If email is not available, forms may be mailed to:
11 Commerce Road, Newtown, CT 06470, ATTN: Strategic Accounts Team. The check must be redeemed within 180 days from the date of issuance or be rendered null and void.
Entitlement to amounts tendered is strictly conditioned upon timely presentment. Failure to present the check for payment within such period shall result in forfeiture of the
amounts tendered and reversion thereof to Charter Communications.
Contract Buyout Form
Name on the account:
Service Address:
Email address
Phone number on the account:
Spectrum Account Number:
Previous Provider Name:
Amount of Early Termination Fee from Previous Provider:
[email protected]