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Contact CSII
Employee Referral Submission
Referral Commission Submission
Employee Name
*
Select Employee to Credit
Emory Breed
Heidi Caldwell
Paul Caldwell
Nick Johnson
Leslie Jordan
Barbara Nantz
Customer Referred
Payment Date
*
Enter the date customer payment was received.
Date Format: MM slash DD slash YYYY
Select Services
Internet (non-fiber)
Fiber
CSII Voice Sale
CSII Voice Referral
Broadband
Select the type of internet that customer installed.
AT&T Broadband
Charter
Comcast
Sprint Wireless
CSII Voice MRC
Enter the total MRC of the order. Please include all MRC services (internet, voice, etc) in the below number, and do not select any of the remaining services above.
CSII Voice Referral
New Customer
Conversion
Fiber MRC
Enter the MRC amount for the fiber circuit installed.
Fiber Commission
Enter the MRC of the fiber circuit installed.
Price:
$0.00
Total Commission
$0.00
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