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Submit a Testimonial

IMPORTANT: If you haven't already done so, please visit our Discounts & Rewards page for information and instructions regarding this page. If you're prepared to proceed, then please take a few moments to complete the forms below. Please see our Eligibility Requirements before proceeding. Thank you for your participation!

TESTIMONIAL FORM:

Refer a Client

Information for Client Verification:  (your information)

*Your Full Name:

*Business Name:

Address:

City:

State:

Zip:

Phone:

*Email:

Information to Appear on our Website:

*Signature:

(name to appear alongside testimonial on website)

*Testimonial:

*Authorization:

By checking box you authorize us to use your
testimonial on our website and/or literature.

Continue to Reward Selection on Right
Continue to Reward Selection Form on the
Right Before Submitting...

Choose Your Reward:
(You may request your reward below if none of the listed choices appeal to you)

ONLY (1) ONE REWARD PER COMPANY PLEASE.

No Gift Necessary - (Complimentary Testimonial)

Thompson's Floor Care - ($20.00 off Services)

Sidewalk Cafe - ($15.00) - (Conover, NC)

Health Hut - ($15.00) - (Hickory, NC)

Cornerstone Bakery - ($15.00) - (Hickory, NC)

Starbucks Gift Card - ($15.00)

Barnes & Noble Gift Card - ($15.00)

Olive Garden Gift Card - ($15.00)

Office Depot Gift Card - ($15.00)

Target Gift Card - ($15.00)

Walmart Gift Card - ($15.00)

(Requested) Gift Card - ($15.00)

If Primary Choice is not Available, Choose Alternative:
(Different selection than above)

No Gift Necessary - (Complimentary Testimonial)

Thompson's Floor Care - ($20.00 off Services)

Sidewalk Cafe - ($15.00) - (Conover, NC)

Health Hut - ($15.00) - (Hickory, NC)

Cornerstone Bakery - ($15.00) - (Hickory, NC)

Starbucks Gift Card - ($15.00)

Barnes & Noble Gift Card - ($15.00)

Olive Garden Gift Card - ($15.00)

Office Depot Gift Card - ($15.00)

Target Gift Card - ($15.00)

Walmart Gift Card - ($15.00)

(Requested) Gift Card - ($15.00)


* Denotes Required Field

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