
Referral Form
Just fill out the form below to have your referral registered with SelectNet. The referral will be good for 60 days.
When/if your referral signs up as a new customer to SelectNet,
make sure you ask them to enter your domain name on their Internet Services Order Form so you will receive credit! Without your domain name on the form, we can not
issue you or the new customer the referral credit.
Note: The information on this form will be e-mailed to you as confirmation we received it. If you do not
receive this confirmation within a few hours, please give us a call at 760-438-9555. There may have been problems with the transmission.
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