Log Your NewsUSA Referral 
Log the company/contact you're connecting with NewsUSA via a three-way Zoom or call, so we have your information readily available to pay commission from a resulting sale. (See referral process at-a-glance)
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Your Name: *
Your Email: *
Your phone #:
Name of COMPANY you are putting in touch with NewsUSA: *
Name of the PERSON(s) you are putting in touch with NewsUSA: *
Job title(s): 
Email of the person(s) you are putting us in touch with: *
Phone # of the person(s) you are connecting with NewsUSA
Comments / Notes
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