Promotions / Referral Program Application Form
Current Client
First and Last Name
Address
 
City  
Postal Code  
Cell Phone #  
Email  
     
Referred New Client
Name of Friend or
Family Member		  
Cell Phone # of Friend or Family Member  
City of Friend or
Family Member		  
     
   
     

To receive the $20 credit, the client must refer a new postpaid cell phone subscriber. The current client and the new subscriber must have active accounts for at least 90 days before the $20 credit can be applied to the current customer. There is a limit of 4 new referred subscribers per year. Offer subject to change without prior notice. For more information, contact NorthernTel Mobility’s Customer Service Department or an authorized NorthernTel Mobility dealer.