Referral Program Form

Referral Program

Get $25 if your referral becomes our client.
Have you checked with your referral to be sure they filed their taxes with Biznezz Minded AND actually received a refund?

YesNo
If you have not checked with your referral, please discard this form and come back to it once you have done so.
Your Information
Name

First NameLast Name
E-mail
example@example.com
Phone Number
WHO DID YOU REFER?
1. Referral Name*

First NameLast Name
Phone Number*
2. Referral Name

First NameLast Name
Phone Number
3. Who did you refer?

First NameLast Name
Phone Number
Tell us about your experience with Biznezz Minded.
Should be Empty:

Referral Program