Referral Gift

Agent*

Who is the referral gift being sent to?*

Who did they refer? *

Have both clients (referrer and referee) been added to Salesforce?*

YesNo

Go to CRM to add the clients and share the contacts with Gulissa. Staff will not move forward with this request until the accounts are created and updated with all important information (including email, phone, and tagged with "Referrer).

Choose a referral gift*

We will send the e-gift to your email so you can send to your client directly with a personalized message

Clients email for delivery

example@example.com

Client address for delivery*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Client phone number for delivery*

Note to go with the gift*

0/160

The flowers will be ordered for immediate delivery unless otherwise indicated. If the client will be out of town or away from their home for an extended time starting in the next few days, please share below when they will be back and the flowers can be delivered.*

Immediate deliveryDelayed delivery required

When should the flowers be delivered?*

Other helpful information...

Referral Gift Submission