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Referral Form

[ILAP Partner Participation Form]

All partners are required to sign the Official Rules and Regulations Agreement before submitting a referral form. If you wish to speak to an Internet Light and Power ® Account Executive regarding the partner program, please contact 416-250-5600.

Partner Information
Partner #:  
 
Customer Referral Information
Service(s) Required:  
Company Name:  
Company Address:  
Contact Name:  
Contact Phone Number:  
Email Address:  
Comments:
 
Terms and Conditions
I hereby attest to the best of my knowledge: that the information set out above is reliable and accurate; that I have read, understand, and signed the Official Rules Governing Internet Light and Power's Partner Program; and, that I agree to be bound by its terms and conditions as evidenced by my completing and submitting this Participation Form.