Note: Please complete this form as thoroughly as possible. Try not to leave any part unfinished. First Name Last Name Current Address City State Zipcode Telephone Email Neighborhood Are you a current customer? YesNo Who should we send your payment to? HomeOther How did you hear about us? WebReferralSales SolicitationOther Would you like us to call you for service? YesNo Rules of the Program 1. The Company pays a maximum payment of 3% of the total price of the project upon our being paid. We don't pay for referrals on time and materials projects or projects under $1,000. 2. We maintain no responsibility for reporting income to the IRS. Please Acknowledge Agreement of the Program Rules. I hereby agree to the rules as stated.
