TV/CABLE SALES

TV SALES/REFERAL SERVICES

TIRED OF PAYING TO MUCH FOR TV PHONE AND INTERNET SERVICES? CALL TODAY AND START SAVING
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Apartment or Unit # *
Also floor number if needed
Phone Number *

Area Code Phone Number
E-mail *
HOW DID YOU FIND US? *
WHAT TIME WOULD YOU LIKE A CALL BACK ( between 10am-10pm CST)? *
DO YOU HAVE ACTIVE SERVICE OR ARE YOU DISCONNECTED? *
WHAT SERVICES ARE YOU INTERESTED IN? *
WHAT PROVIDER DID YOU HAVE THAT YOU WERE DISCONNECTED FROM? *
HOW LONG HAVE YOU BEEN DISCONNECTED? *
HOW MUCH ARE YOU PAYING PER MONTH FOR SERVICE? *
How soon do you need service?
PLEASE GIVE REFERENCE OF ANY 4 PEOPLE WHOM YOU FEEL NEED SERVICE RECIEVE $25 FOR EACH PERSON THAT IS INSTALLED (NAME AND PHONE NUMBER)
RECIEVE $25 FOR REFERAL THAT IS INSTALLED
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TV SALES/REFERAL SERVICES