Early Termination Fee Reimbursement Form Not Working

igotafreexbox
Newbie

hello,

I am trying to submit proof of early termination fee for the reimbursement offer. However, when I try to complete the form, many areas are "grayed out" and do not let me enter info. Can someone assist with this? Is there a manual process to submit the required information? Any help is greatly appreciated. Thank you.

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