Your Info (existing account holder) *
Your Info (existing account holder)
Your Phone *
Your Phone
Friend's Info (potential new customer) *
Friend's Info (potential new customer)
Friend's Phone *
Friend's Phone
Contact Consent* *
By submitting this form, I give consent for myself or my friend to receive emails and telephone calls (including SMS text messages) through automated technology by or on behalf of 21st Century Communications, regarding current offers. I understand that consent is not required to make a purchase and I agree to the Privacy Policy and Terms & Conditions.

*New Customer (Friend) must be active for at least 31 days and have paid their 2 month's bill to qualify for the rewards. Also to earn the $25 reward the referral source (you) must be a valid and active account holder at the time of reward mailing with a service installed or sold by 21st Century Communications. Rewards will be sent via mail in the form of a $25 gift card. Please allow 4-8 weeks after referral installation date to receive reward.