Application Form

I like NILDRAM - I've used them since 1995

To refer a friend simply complete the form below with your details and the details of the friend you are referring.

For further information about the Nildram Refer a Friend Scheme check out our how it works section.

Thank you for recommending Nildram!

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Required Fields are marked in bold

Your details

Name

Account no.

Email address

Daytime phone no.

Your friends details

Friends name

Friends email address

Friends daytime phone no.

Preferred method of contact

Which broadband service is of interest

Submit