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When you refer a customer to AmeriDish,
you earn yourself $50!

Just fill out the form below with contact information for family or
friends who may be interested in DIRECTV, and we'll do the rest!

Our Customer Service Representatives will contact the referral
customers, and for every one of them who activates DIRECTV
service, AmeriDish will send you a check for $50... it's that easy!

YOUR INFORMATION
Your referrals are tracked by your phone number, so please be sure to
enter the 10-digit phone number used on your DIRECTV account.
Mr. Mrs. Ms.
First Name
Last Name
Phone

REFERRAL INFORMATION
Enter the information below for a friend or family member who you think would enjoy the amazing value of DIRECTV!

Mr. Mrs. Ms.
First Name
Last Name
City
State
Zip Code
EMail
Phone

Preferred time
for contact call