Wizard Pi Commercial Referral Form

Your Details

So we know who to send the gift card to!
Name*

First NameLast Name
Business*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Their Details

The person or company you are referring
Please note, we will only use the referred person’s details to make an initial contact regarding this referral. They will not be added to any marketing lists without their consent. For more information, see our Privacy Policy.
Name*

First NameLast Name
Business*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Referral Permission*

By submitting this form, I confirm that I have permission from the person/company I am referring to share their contact details with Wizard Pi for the purpose of being contacted about their services.
Should be Empty:

Your Details