Customer Referral Form

We always appreciate customers who refer others to us.  Simply fill out this form and mail to the address below.  Within 3 weeks after the referred customer is installed you will receive a "thank you" from us in the form of a $50 check.

Referred Customer:

Name: _______________________________________________

Address: _____________________________________________

Phone: _______________________________________________

Person who referred them:

Name: _______________________________________________

Address: _____________________________________________

Phone: _______________________________________________

Mail to:

Columbia Basin Satellite

6515 W Clearwater Ave, Ste 320

Kennewick, WA 99336