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Royal Aire Referral Form
Enter your information and your friend's information below and when they purchase equipment from Royal Aire - we will send you a Referral Fee.
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Your Name (you as the referring person)
Your answer
Your Address (so we can send you a check)
Your answer
Your Zip Code
Your answer
Your Email
Your answer
Your Phone Number
Your answer
Your Friend's Name (the person you are referring to us)
Your answer
Your Friend's Address
Your answer
Your Friend's Zip code
Your answer
Your Friend's Phone Number (cell is best if you have it)
Your answer
Your Friend's Email Address (if you have it)
Your answer
What Equipment are you referring them for?
Column 1
Heating or Air Equipment
Solar Installation
Attic Insulation
Water Purification
Indoor Air Purification Equipment
Other
Column 1
Heating or Air Equipment
Solar Installation
Attic Insulation
Water Purification
Indoor Air Purification Equipment
Other
Anything Comments about your Referral?
Your answer
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