327 Palisade St, Merrimac, WI 53561

877-493-9470

608-493-9470

Fax 608-493-9902

office@merr.com

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MERR.COM REFER A FRIEND

Current customers who tell their friends and relatives about our great service and price have been our #1 form of advertising. We appreciate it and now we want to reward you for it. If a new customer signs up based on your referral, we will give you $5.00 cash!* All you have to do is fill out the information below, click the "submit" button and we will contact the individual to offer our services.
 
CUSTOMER  
Your Name:
Your Phone #:
Your Email Address:
   
REFERRAL #1  
Name:
Address:
City:
State:
Zip:
Phone:
Email:
Relationship To You:
  (Friend, Relative, Co-Worker, etc.)
REFERRAL #2  
Name:
Address:
City:
State:
Zip:
Phone:
Email:
Relationship To You:
  (Friend, Relative, Co-Worker, etc.)
REFERRAL #3  
Name:
Address:
City:
State:
Zip:
Phone:
Email:
Relationship To You:
  (Friend, Relative, Co-Worker, etc.)
REFERRAL #4  
Name:
Address:
City:
State:
Zip:
Phone:
Email:
Relationship To You:
  (Friend, Relative, Co-Worker, etc.)
REFERRAL #5  
Name:
Address:
City:
State:
Zip:
Phone:
Email:
Relationship To You:
  (Friend, Relative, Co-Worker, etc.)

*Referred names must be new customers or previous customers who have been inactive for at least one year. Referred customer must sign up for annual service. Referral money will be paid after referred customer makes annual payment.