RefiStop.com | California Home Loan Mortgage | Refer-A-Friend Referral Program

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Referral Program Form
* Required Fields

FREE GAS CARD up to $100!
We’re giving away up to $5,000 in FREE gas this month!

(1) gas card for each referral
A Maximum of 5 gas cards will be issued per household each month

(Get all the details...)

The following contacts have been referred by: (Your gas card will be mailed to the address below)
My Email *
My Name *
My Address *
My City / Zip *
My Phone *
Phone Location:

Referral #1
Name *
Email *
Phone *
Phone Location
This person is expecting you to contact them via phone or e-mail.

Referral #2
Name
Email
Phone
Phone Location
This person is expecting you to contact them via phone or e-mail.

Referral #3
Name
Email
Phone
Phone Location
This person is expecting you to contact them via phone or e-mail.

All fields must be complete (i.e. name, phone number(s), e-mail, etc.). We will call or e-mail your friend within 1 - 3 business days. Once we contact them and confirm that they are a legitimate referral, we will then send out your gas card ASAP. Incomplete forms do not qualify for a free gas card. Gas cards are selected at random and mailed out within 2 weeks. Odds are as follows: $100 - 2%; $50 - 3%; $25 - 12%; $10 - 18%; $5 - 65%. Refer as many people as you like, but we will send out a maximum of 5 gas cards each month.

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