Request edit access
Hi! You're just a few steps away to getting FREE Subscription credits.
What is the Member-Get-Member Program?
· MGM is a Referral and Rebate program for all our Existing FiberX and MicroBiz subscribers.
· To join, simply fill-out all the required information below.
· Upon submission, your application will be verified* by our Telesales Representative.
· Upon approval, you will automatically enjoy 50% Rebate, which will then be deducted one-time on your next billing statement.
· The more Approved Referrals, the more Rebates to Enjoy!

* Standard Approval Process

Email address *
Name of Existing Subscriber *
Your answer
Subscriber's Account Number *
Your answer
Contact Number *
Your answer
Current Fiber X Plan *
Name of Referred Client *
Your answer
Complete Address of Referral *
Your answer
Contact Number/s of Referral *
Your answer
Email Address of Referral *
Your answer
Converge Fiber X Plan *
Comments
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Converge ICT, Solutions, Inc.. Report Abuse - Terms of Service