referral Form

Do you have a friend or business associate that might benefit from all of the services that Mountain West Telecom has to offer?  We believe that 40% of our customers come as referrals from loyal customer like you.  Send us qualified referrals and be entered into a monthly drawing for a new Apple iPad.

 

Business Name: 

Contact Name: 

Business Phone: 

Business Email: 

 

Your Name: 

Your Email: 

 

 

HOW TO ENTER:
For a chance to win one (1) Apple iPad, you must submit your entry by 11:59PM on Friday, December 31, 2010.  Winner will be notified via email on the first business day of the following month.  If you are selected and meet the eligibility requirements set forth herein, the Prize will be delivered to the name and address that you provide with your entry.
ELIGIBILITY:
One entry per qualified referral.  No purchase necessary.  Entries that are incomplete, illegible, fraudulent or corrupted are void and will not be accepted.