Employee Referral Submission

Employee Name*

Customer Referred

Payment Date*

Enter the date customer payment was received.

Select Services

Internet (non-fiber)
Fiber
CSII Voice Sale
CSII Voice Referral

Broadband

Select the type of internet that customer installed.

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

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

Employee Referral Submission

Referral Commission Submission