Referral Program Application

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(copy) Only plan

About Your Company

Name *

First

Last

Phone *

Email *

Are you applying as an individual or a business? *

Individual
Business

Business Type

Retail Location
Call Center
Marketing Agency
Door to Door / Event Sales
Lifeline Wireless Agents
E-Commerce
Other

Business Name *

Address *

Address Line 1

City

State

Zip Code

How You'll Share

How do you plan to share your referral link/page? *

Google Ads Campaign
Meta Ads Campaign
Text/SMS My Contacts
My Website/Blog
In-person/word of Mouth
Promo Flyer/Door Hanger
Email to My Contacts
Cross-Sell
Referral Program
Community Groups
Other

Explain Other *

Roughly how many people can you reach per month? *

How many activations do you forecast per month? *

Online Prescence *

Website / URL *

Online Prescence (copy)

Website / URL (copy)

Do you plan to run any paid ads (Google, Facebook/Meta, etc.) to promote the your page?

Show Us How You Promote

The description below is required. The file uploads are optional — but if you upload examples now, we won't have to request them later, and your application will be approved MUCH faster.

Describe how you plan to promote your referral page and reach customers. *

Screenshots or examples of how you'll promote (social posts, flyers, emails, website pages)

Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.

Ad Account Dashboard Screenshot (showing recent spend if running paid ads)

Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.

Drivers License or Government Issued ID

Drag & Drop Files, Choose Files to Upload

State Re-seller Permit or Business License Only

Drag & Drop Files, Choose Files to Upload

By checking this box, I understand that this application is subject to Vomtel's approval and is not guaranteed, and may be denied based on review of my application and marketing tactics. I understand that referral earnings are shared with approved partners only on completed, verified installations. If approved, I must grant Vomtel view access to all ad accounts used to promote my referral page, and that removing this access may result in suspension.