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	Wireless

Referral Rewards Form

Simply refer someone to Pixius for extend^SM wireless broadband Internet and earn credit towards your Internet service! For EACH referral you make resulting in a new account and installation, we'll credit your account in the following amounts:

New Account Class of Service	Reward per each successful referral
Residence Class 1	$25
Residence Class 2	$25
Home Office	$35
Business Class 1	$75
Business Class 2	$75
Business Class 3	$200

extend^SM your Internet service!

There's NO LIMIT- only a deadline! So hurry and earn credit for your broadband Internet service!

Details:

Applicable for new wireless customers signing a Pixius Service Agreement.
The referral must result in a new account, defined as either a first time customer or a customer returning after a minimum of 3 months. Returning customers must not have an outstanding balance, including amounts in the collection process.
All rewards will be issued as credits to your account and applied only to Pixius service charges. Under no circumstances will any rewards be provided or refunded as cash.
You must have a current Pixius account in good standing. Rewards may not be applied to past due balances, suspended accounts or those accounts otherwise not in good standing.
All rewards will be applied no sooner than 30 days after the new/returning customer pays their first month's invoice in full. The new/returning customer must maintain their account in good standing and not cancel for a minimum period of 90 days or the reward will be deducted from the referring customer's account with or without notice.
Rewards will only be issued to referrals submitted through this web site prior to new customer installation.
Rewards may not be combined with any other offers, incentives or bonuses.
Pixius Communications, LLC reserves the right to change, modify or cancel any of these details or conditions without notice.

Complete the form below to extend your Internet service!

_* Required


Your Information
_* First Name:
_* Last Name:
Pixius Customer #:
_* Please select where you acquired your service from the following list:

Person or Company You Wish to Refer
Company Name (if applicable):
_* First Name:
_* Last Name:
_* Street Address:
_* City:
_* State:
_* Zip Code:
_* Telephone:

_* Service Desired:	Residential\Home Office Wireless Internet Business Wireless Internet

Additional Comments:
By submitting this form you are agreeing to all terms and conditions regarding this program.
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