Referral Credit Request Online Form

For your added convenience, you may fill out this online Referral Credit Request form to submit your referal credit information.

Please mark the box of the SERVICE you referred.
Upon Verification of referred customer's sign-up, $5 credit for Dial-Up, $5 credit for Long Distance,
$15 for Bundles, $15 for ADSL or $15 for Wireless Broadband Internet will be applied to your Montana In Touch account.
Your Account Name:
Your Telephone Number:
Your Email:
I referred (Name):
I referred (Phone Number):
to select: Long Distance
to select: Dial Up Internet
to select: ADSL or Wireless Broadband Internet
to select: Bundled Rates