Financial Information

Access Request Form
	* = required field

	PERSONAL INFORMATION

Salutation:

* First Name:

Middle name/ Initial:

* Last Name:

Suffix:


	COMPANY INFORMATION

* Company Name:

* Title:

* Phone Number :

ext.

* Company Email Address:

If your request is approved, this email will be used as your User ID.

* Mailing Address:

Examples:

1234 Sammy St.
Suite 456
Dayton, OH
55555
USA

Firma
Wellhausen
Postfach 10 01 65
32547 Bad Oyenhausen
GERMANY

	* Are you requesting access to the Cox Communications Financial Information site?		YesNo

	Please list the CCI bonds you own including the face amount, or explain in detail your need for financial information (1000 characters)

	* Are you requesting access to the Cox Enterprises Financial Information site?		YesNo

	Please list the CEI bonds you own including the face amount, or explain in detail your need for financial information (1000 characters)


	Security
	In order to set up an account, if approved, you will need to provide a security question.

	* Security Question:			- Select a question with a clear answer that you can easily remember. - Answers are not case-sensitive, spaces are permitted.
	* Your Answer:

By accessing Cox’s restricted financial information, you (1) agree to strictly maintain the confidentiality of such information; (2) agree to access it for internal credit review purposes only and for no other purpose; (3) agree not to reproduce, distribute or disclose it to any third party without Cox’s prior written consent, except to the extent required by applicable laws, rules, regulations or orders or compelled by subpoena or similar legal process; (4) acknowledge and agree that none of the information on this site constitutes an offer to sell, or solicitation of an offer to buy, any security; (5) acknowledge that the information on this site is subject to change and is not guaranteed to be current or accurate; and (6) warrant that you have the express authority to bind your organization to the foregoing terms.

Proceeding to access Cox’s restricted financial information will be deemed to be acceptance of the foregoing terms. If you do not agree with the foregoing, you should not access the restricted financial information.

I agree to these Terms