Primus

For Your Business > Partner Programs > Agent Programs

Primus Lead Referral Form

The Primus Lead Referral Program pays a onetime fee of between 20% and 50% of New Monthly Recurring Revenue for successful leads that become closed sales. For more information on this program send an e-mail to agent@primustel.ca

Fill in all required fields for the company you are referring to Primus Canada. (*):

* Company Name:

     
Type of Business:

      
* Contact Name:

   Title: 
  
* Telephone:

( ) -  -       
* E-Mail:

     
* Address:
Suite: 
      
* City:
* Province:
* Postal Code : 

   
 
Visit/Call Date:
Product/Service Client is interested in:
Additional information/details that might be helpful in securing the sale:
   
     
 

Referring Partner Information: This Lead was generated by:
Name:  
 
Telephone #: ( ) -  - 
E-Mail:
Address:
Fax Number:
Referring Partner Company:
Referring Partner Company ID: