Sales Referral Credit (Verify) Submit.
Please complete as much as possible to help us complete the sale and properly credit the referral. (This will keep me abreast of who's customer is who's)

Your Name:	Your E-mail Addy
Your Phone	Date of Contact
Repeat customer Check if Yes
Referral's Name:	Referral's Address
Referral's Phone	Referral's E-mail
Referral's Order	Referral's Interests/needs
Repeat sales to existing customers are generally not accepted as commisionable Sales . They generally count as company sales - same as monthly accounts. First Month only!

Commissions are paid out on a monthly, quarterly or trade basis based on your preference. Please make note of your preference here:

When you are finished completing the report, please hit .
If you need to start over, please hit .