Telecom Sales Referral Form

Please complete the referral form below for all OKI, Mobile and Wired opportunities.  This form will be received and actioned immediately by the Orb store.  We will have a response back to you within 24 hours as to the outcome of the lead.

Any further questions please call the Sales & Marketing Co-ordinator at Orb Head Office on 09 353 7864 or email referrals@orb.co.nz..

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Please complete the form below, including the security code at the bottom (copy the letters shown into the field below the code) which helps block SPAM:

*Denotes Required Field

Orb Communications Privacy Policy
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Referrers Name

*

T Number (if known)

Email

*

Your Location

*

Sales Referral Product Type

*

Customer / Company Name

*

Telecom Account Number

Contact Name

*

Customer Location

*

Contact Phone

*

Company Size

*

0-5 Employees
5-10 Employees
10-20 Employees
20+ Employees

Additional Notes

Preferred Orb Store or Rep

Enter the characters in the security image