Please complete the referral information below. Items marked with an asterisk (*) are required.
Your Information Please provide your information below so we can properly identify your account and apply the referral credit to your account.
* First:		* Last:
* Phone:		Email:
* Street Address:		* City:
Account Number:	i.e. 123456-1
BBB Employee:		* Employee #:
Referral Information Please provide the information below of the friend or colleague you wish to refer to BendBroadband for services.
* Referral First:		* Referral Last:
* Referral Phone:		Referral Email:
* Referral Street:		* Referral City:
	What is this? The image above is a test that humans can pass but current computer programs cannot. Entering the letters into the box correctly separates you from computer programs that may be trying to access this site in a malicious manner.
	Enter the above letters and number below.

After your friend activates their service, a $25 credit will be applied to your account. Please allow up to 60 days for the credit to be applied depending upon your billing cycle.

To refer a friend, you must be a current BendBroadband customer. Property owners, managers, leasing agents, and landlords of apartments, townhouses, and condominiums are not qualified to receive credit for this promotion if they are referring a tenant. Referring accounts must also be in good standing. Credits are only available for referrals resulting in new service activations. Referred customer must have successfully installed and continued service(s) for at least 30 consecutive days following activation, for the referring customer to receive credit.