Referrals

Electric Medic's referral program rewards not only our customers & new customers but we only give gift certificates from establishments that use our services as well!  If you refer a friend or family member to us & they use us for service, not only will our new customer receive $25 off their first service, but you'll receive a $25 gift certificate as well!

Submit your referrals below!

 

 

Currently our gift certificates are from High Rock Cafe, a local restaurant that specializes in modern cuisine.  For more information about High Rock Cafe, please visit their website.

 

 

 

* Denotes required fields
2
* Your Name
* Address 1
Address 2
* City | State/Province | Zip/Postal Code
* Phone Number
* Email Address
REFERRAL 1
* Name
* Address 1
Address 2
* City | State/Province | Zip/Postal Code
* Phone Number
* Email Address
REFERRAL 2
Name
Address 1
Address 2
City | State/Province | Zip/Postal Code
Phone Number
Email Address