Customer Referral Form

Is someone you know having problems with their electronic device or appliance? Refer them to us and receive a $5.00 appreciation check as our way of saying, "Thank you!". Complete the information below to initiate a referral.

Your Name: (Last, First)

Your Daytime Phone #:

Your Full Address:

I am referring:

Name: (Last, First)

Daytime Phone #:

Full Home Address:

Conditions: The referrer (you) agrees to the following conditions by completing and submitting this electronic referral form. 1. The person referred must mention the referrer's name at the time service is requested 2. The person referred by the referrer must use our service and have all dues paid in full for their repair before the processing of the referral check. 3. Only first-time customers are eligible for valid referrals. 4. There are no limits on the number of referrals submitted by the same individual as long as conditions 1, 2, and 3 are satisfied.