Name *

First Name

Last Name

Phone *

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Phone of friend or family member *

(###)

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Terms and Conditions *

I. To qualify for the reward, the referral must not have met with Superblinds & Draperies before you submit this online form. II. Referral reward goes to the first person who fully completes the online referral form if an individual is referred by more than one person. lII. Referral reward can be picked up at the store 30 days following window treatment installation date. IV. Superblinds & Draperies will contact the referred client by telephone to discuss setting up a meeting. Please give your referral a heads up, so they are not surprised. V. Superblinds & Draperies reserves the right to change or end this promotion at any time. VI. Referral campaign effective March 1, 2018. Superblinds & Draperies reserves the right to cancel, terminate, modify, or suspend the Referral Program.

I declare that I have read, understood and complied with the terms and conditions of Superblinds & Draperies referral reward and confirm that I am 18 years of age.