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Referring Partner Program Application

It makes strategic sense for your business. And it's easy to experience the advantages of the Referring Partner program. Simply fill out the online application with some pertinent details about your company, and one of our specialized Referring Partner Account Managers will contact you to discuss this unique opportunity.

(*Indicates Mandatory Field)
*Company Name:
   
Key Contact
*Last Name:
*First Name:
*Phone: Ext.
Fax:
Email:
(i.e.: username@mtsallstream.com)
Web site URL:
   
Company Address
*Street:
Suite, P.O. Box Number:
*City:
*Province:
*Postal Code:
Accounting Contact:
Accounting phone number: Ext.
*Number of sales people:
*Number of offices:
   
Products and Services
*Type of Business:
*Number of years in business:
   
*Geographic Area
Check all that apply:
All of Canada (only)
British Columbia
Alberta
Manitoba
Ontario
Quebec
  Northwest Territories
Newfoundland
Prince Edward Island
Nova Scotia
New Brunswick
   
*Size of Customer Base:
 
   
*Referrals
What Allstream services would be of interest to your clients?
Dedicated Access
Dial Up Access
Email Hosting
  IDCS
Web Hosting
All
   
How did you hear about the Allstream Referring Partner Program?
 
   
Comments
   
 

 

 

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