Referral Form

	Home
	Contact Us
	Services
	About Us
	Support
	Quotes
	Partners
	Legal
	Referral

If you refer a South Florida physician to 3CNC and the referral becomes a new customer, you will be rewarded $100.00^*.

That's all there is to it!

3CNC will even provide you with an additional bonus if the equipment and/or service sales exceeds $5,000.00. To guarantee your finder's fee, fill out the referral form below.

Your Contact Information

First Name:
Last Name:
Company:
Email:
Telephone:	--
Address:
City:
State:
Zip:

Referral Information

Physician's Name:
Practice Name:
Email:
Telephone:	--
Address:
City:
State:
Zip:
Equipment Requested:	Computer Network Telephone Surveillance
Time Frame:	Urgent < 1-month <3-months

Comments

3CNC offers Flexibility without Complexity

Focus on your core business rather than the details of technology

* Note: Lead compensation will be provided upon final sales and payment of sales lead.

MODIFICATION OF THESE TERMS OF USE
3CNC reserves the right to change the terms, conditions, and notices under which the 3CNC web site is offered, including but not limited to referral fees.

NO UNLAWFUL OR PROHIBITED USE
As a condition of your use of the 3CNC web site, you warrant to 3CNC that you will not use the 3CNC web site for any purpose that is unlawful or prohibited by these terms, conditions, and notices. You may not use the 3CNC web site in any manner which could damage, disable, overburden, or impair the 3CNC web site.