Submit-a-Lead Form

Welcome to the Internap Referral Program

Participation is easy and rewarding. Just fill in the form below.

After you hit the Submit Lead button, you will be sent a confirmation. Shortly thereafter you will also be notified as to the acceptance or rejection of the lead and be given the name of the Internap Account Executive assigned to work the lead. Failure to supply all the requested information will result in the lead not being accepted.

If you have further questions, contact us by email or phone: 404.641.6034 or 858.663.3994.

Terms and Conditions

I have read and understand the terms and conditions. I represent that I am an authorized party of the Company submitting the referral and agree to be bound to the terms and conditions specified therein.
*

Your Company Information

Submitter Name:*

Submitter Phone:*

Submitter Email:*

Submitter Company:*

Submitter Address Information (where commission payments should be sent)

Street:*

City:*

State/Country of HQ:*

Zip:*

Customer Lead Information

Company:*

Website Address:*

Customer Street Address:*

City of HQ:*

State/Country of HQ:*

Zip:*

Customer Contact First Name:*

Customer Contact Last Name:*

Title:*

Customer Phone:*

Has this Referral been given to an Internap Rep?*

If yes, name of Rep:

Comments:

Alliance Programs

Submit-a-Lead Form

Welcome to the Internap Referral Program