Qwest® will offer cash commissions to approved Organizations when members purchase Digital Voice services, Wireless services, Digital TV, or broadband Internet. For purchasing Digital Voice service the organization will receive $25, for purchasing Wireless service the organization will receive $15, for purchasing Digital TV service the organization will receive $25, and for purchasing broadband Internet the organization will receive $25.

This is a special offer not available in any other channels and only for approved Organizations and their members who purchase Qwest Digital Voice services, Qwest Wireless™ services, Digital TV services, or broadband Internet.

You must be a new subscriber to the service (Digital Voice, Digital TV, broadband Internet or wireless) and keep the service for 30 days to be eligible for the cash commission offer from Qwest. If Qwest deems that there is any fraudulent activity, you will be terminated from the program offer. Qwest reserves the right to modify or terminate program at any time. If you have questions about filling out this form or any other questions, please contact our customer support center at 1 888-285-8533.

The Direct Awards Program is for a limited time only: Qwest Communications reserves the right to cancel or modify the program at any time.