Qwest Technical Services - Referral Sign-Up Form


	Name

	Address

	City/State/Zip

	Phone Number


	Email Address

	Terms and Conditions To earn money for referring customers, you must be an approved registrant. The approval process will normally take up to 24 hours, but may take longer. Registrants are normally approved with the verification of their email address and phone number. However, we may ask for you to provide a copy of your photo ID. If we ask for a copy of your photo ID, it must have your current address listed on it. Once approved, we will email you at the email address you provide, or we will call you at the phone number you provide.

	If you agree with the terms and conditions, type your full name in the box below.

To sign up for the Referral Program, please fill out the form below. Once
submitted, a Qwest-Tech employee will contact you with-in 24 hours. If you
have any questions or concerns, please call us at (716) 951-9130.

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