Referral Sheet

Earn 100 lbs Softener Salt for Referring Customers to Tri County Water

How would you like to earn 100 lbs of softener salt? All you need to do is complete the attached referral sheet of someone you know who could benefit from having quality water in their home or office!  A certificate for the salt will be mailed directly to you for redemption at Tri County Water.

Rules: Names and addresses must be valid. Must have 4-6 referrals in order to receive coupon.

 
Your Name:
Address:
City:
State:
Zip:
Phone:
E-mail:
   
Referral 1 Referral 2
Name: Name:
Address: Address:
City: City:
State:
State:
Zip:
Zip:
Phone:
Phone:
E-mail:
E-mail:
Relationship to you :
Relationship to you:
Occupation:
Occupation:
Occupation-how long:
Occupation-how long:
Approximate age:
Approximate age:
 
Rent
Married Single
 
Rent
Married Single
 
Referral 3 Referral 4
Name: Name:
Address: Address:
City: City:
State:
State:
Zip:
Zip:
Phone:
Phone:
E-mail:
E-mail:
Relationship to you :
Relationship to you:
Occupation:
Occupation:
Occupation-how long:
Occupation-how long:
Approximate age:
Approximate age:
 
Rent
Married Single
 
Rent
Married Single
 
Referral 5 Referral 6
Name: Name:
Address: Address:
City: City:
State:
State:
Zip:
Zip:
Phone:
Phone:
E-mail:
E-mail:
Relationship to you :
Relationship to you:
Occupation:
Occupation:
Occupation-how long:
Occupation-how long:
Approximate age:
Approximate age:
 
Rent
Married Single
 
Rent
Married Single
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