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Referral Card
HONKAMP KRUEGER FINANCIAL SERVICES, INC.
PROFESSIONAL PARTNERS PROGRAM
Any referral you make, and any resulting referral reward, is confidential, unless you expressly consent to a release.
Referral Card form
Name of Potential Affiliate
*
Website Address
*
Email Address
*
Contact Person
*
Contact Phone Number
*
( 123-123-1234 )
Contact E-mail Address
*
Brief Description of Opportunity
*
Suggestions for Approaching Party
*
Please Include Me in the Initial Contact
Characteristics of the Referred Party (include number of partners, revenues, existing business, known concerns with current situation, etc.)
*
I Understand you may use my Name as a Reference with this Party
Referral Made By
*
Referral Email Address
*
Date
*
Best time and day to Contact Me about this Referral
*
Am
Pm
-- Select --
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Contact Me At
*
( 123-123-1234 )
Referral card must be on file to be considered for reward program