NETWORK AMERICA

COMMI$$ION ENROLLMENT

FORM  


Sign up now and receive $2.00 for every completed international operator services call

Please provide the following contact information:

Name
Title
Organization
Work Phone
FAX
E-mail

Please provide the hotel's main telephone number:

Hotel's Main Telephone Number
Hotel's Other Telephone Numbers (if available)

 

Send Commissions to:
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Do you need stickers or signs for the guest rooms? If so, how many?



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Revised: April 12, 2006