Mosquito Beaters, Inc. - Refer a Friend

Refer a Friend

As a valued customer of Mosquito Beaters, we would like to make available to you our unlimited referral program:

1. After your system is installed, refer Mosquito Beaters to a friend, family member, neighbor, etc.*

2. Your choice: A free reservoir fill-up ($200 value!) OR $100 cash.

*Within 30 days after the installation of your referral's system, you will receive either a reservoir fill-up or a check for $100 in the mail.

Fill out the following to send a referral to Mosquito Beaters:

Your Information
Your Name (First Last):
Email Address:
Phone (123-123-1234):
Bonus Preference (choose one)	Reservoir Fill-Up ($200 value)	$100 cash

Person You Are Referring
Salutation:
Name (First Last):
Email Address:
Phone (123-123-1234):
Address:
City:
State:	Texas
Zip:
NOTE: The information supplied is only to be used by Mosquito Beaters, Inc. to inquire about a referral and will NEVER be sold or rented to 3rd parties.