Nice2GeekYou IT Business Referral Form
Use this form to Submit your Enrollment Application in order to give or receive referrals
Email address *
Enrollment Type: *
Business/Organization Name: *
Your answer
Contact's First Name: *
Your answer
Contact's Last Name: *
Your answer
Title/Position: *
Your answer
Business Phone Number: *
Your answer
Mobile Phone Number: *
Your answer
Web Site Address:
Your answer
Who Referred you? (If none please Type N/A) *
Your answer
Do you or your referrals business require Internet, Phone line, and or Television? *
Make up to an additional $50K per year by looking at and referring your contact list!
Will the business require Managed IT Services?
What is Managed IT Services?
If yes, describe Information about network, please be as detailed as possible. Number of servers, computers, users, phone system, firewall, special applications, number of physical locations, etc.
Your answer
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