Discovery Co-op Referral Reward Claim

Referrer Information
Referrer Full Name*
Referrer Co-op Number*
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Relationship to the new member
Switcher Acknowledgment
We used to share a family Co-op number, but now have our own.
Verification and Consent
I confirm that the information provided is accurate and understand that Discovery Co-op will verify membership details beore issuing rewards.
Your information will only be ussed to verify your Discovery Co-op membership and referral eligibility. Discovery Co-op will never sell or share your personal details.
Should be Empty:

Switcher Acknowledgment