CUSTOMER REFERRAL FORM

TELL YOUR FAMILY, FRIENDS AND NEIGHBORS ABOUT CORKY’S.

YOU GET $35 AND THEY GET $10 OFF!

You will receive $35 when your referral becomes a customer.

CORKY’S CUSTOMER REFERRAL FORM

Name*
First Name Last Name
E-mail*
Phone Number*
Address*
Street Address Street Address Line 2 City State / Province / Region Postal / Zip code
Referree Details
Referral Name*
First Name Last Name
Referral E-mail*
Phone Number*
Address*
Street Address Street Address Line 2 City State / Province / Region Postal / Zip code
Tell us more about your referral

THERE’S NO LIMIT ON REFERRALS AND THE REWARDS.
We appreciate your patronage and thank you for your customer referrals.

CUSTOMER REFFERALS