Water Sounds: Referral Form

Water Sounds Referral Form
Be a Scout for Water Sounds and Receive a Free Fountain!

Instructions...

Complete this form and click "Send Information" to send your recommendation to Water Sounds. If you're the first person to recommend this store and they decide to do business with us, we'll send you a free fountain! If you prefer to fax or mail the information, please print out the HTML version of this form.

Please note that we only sell Water Sounds fountains in one store per shopping mall. If our fountains are already being sold in a store in a certain area, we will not be able to use your referral. But keep your eyes open! There are many locations where Water Sounds fountains would be a perfect addition.

I think the following place would be perfect for Water Sounds fountains. Please send information about your fountains to:

(Fields marked with an asterisk (*) are required. If you do not know the information, please type "unknown" in the space provided.)

Store Information:

Store Name	*
Store Street Address	*
Store City, State, Zip	*
Store Phone	*
I am recommending this location/person because...*

Your Information:

Your Name	*
Your Street Address	*
Your City, State, Zip	*
Your Phone	*
Your E-Mail	*
Please re-enter Your E-Mail What's this?	*

Go to the HTML version of this form.

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