Referral Form

EARN MONEY - SEND US YOUR REFERRALS

Our ideal clients are salon/spa/medi-spa owners, managers, and independent beauty professionals (solo owners), and their teams. We help them grow their businesses so they can make more, live more, and enjoy what they have built for themselves.

You will receive:

$50 for every qualified lead who books & shows up to an appointment with us
$200 for every lead who makes a purchase into our coaching/consulting programs such as B-School, Profit Accelerator, and others

Fill out your referrals and their contact info below. Even better if you can send an email between them and amy@empoweringyouconsulting.com or a text to (812) 455-1367 introducing us to each other!

Your First Name*

Your Last Name*

Your Email*

example@example.com

Your Direct Phone Number*

Your Address (so we can mail your referral check)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Referral 1 First Name:*

Referral 1 Last Name:*

Referral 1 Email*

Type N/A if you are unsure

Referral 1 Phone Number*

Type N/A if you are unsure

Why is Referral 1 a good fit for Empowering You?

Referral 2 First Name:

Referral 2 Last Name:

Referral 2 Email

Type N/A if you are unsure

Referral 2 Phone Number

Type N/A if you are unsure

Why is Referral 2 a good fit for Empowering You?

Referral 3 First Name:

Referral 3 Last Name:

Referral 3 Email

Type N/A if you are unsure

Referral 3 Phone Number

Type N/A if you are unsure

Why is Referral 3 a good fit for Empowering You?