Your Information

Please fill in your information so that we can send a Visa® Prepaid Card to your mailing address after your friends services have been installed.


I am a TELUS Employee

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    (Please see program terms for details)

Your Friend's Information

Fill in your friend's information so that we can contact them by email or phone about TELUS services. Please ensure you have talked to your friend about TELUS services and they have given consent for you to share their contact information with TELUS.

Has your friend given consent for you to provide their contact information to TELUS?

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My friend or family member is interested in


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I understand my referral must be submitted before my friend orders home services from TELUS to qualify for the cash card.

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To ensure your friend or family member has the best referral experience, please provide a record of your conversation with the referred person. This will allow us to contact your friend or family member even if they are on the Do not Call list.

On I, (Employee Name), had a conversation with (Referral Name) regarding (Product Name) and (Referral Name) expressed interest in receiving further information from TELUS, including being contacted by telephone and email (if provided).

Comments (optional):

Type the answer to the queston you see in the picture below:

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program terms. *