“Refer A Friend ” form.

 

  • By completing this form your acquaintance / family member is under no obligation to subscribe to Platinum Internet/Digital Phone service

  • If service is not available, we will notify them as soon as Platinum Internet becomes available in your community

 

Your acquaintance / family member's information:
       
First Name:*
Last Name:*
Geographical Area:* Service will be installed:
Inside, or
Just Outside this Area
What type of service will this be:
Contact Phone:*  (include area code) (403#######)
Fax Phone: (include area code) (403#######)
Email Address
     

 

Referred by the following existing Platinum Internet customer :


 
       
First Name:*
Last Name:*
Address:*
City*
Province*
Contact Phone:* (include area code) (403#######)
Email Address:*
     
Platinum requires to send an agreement for your Friend or Neighbour to review and sign.  How should we send it to him/her? Via their Email
Via their Fax
Via your Email
           
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