Customer Referral Form
Referral Guidelines
1. To refer a potential customer , please complete this form and return it by fax to 503.682.2713, mail to
PO box 626 Wilsonville OR 97070, email: Jenniferp@gunnerllc.com
or call 877.324.0173.
2. Please inform your referral that a representative form Factory homes will be calling them.
3. If the customer you refer makes a purchase , you will receive a referral award of $1000, 90 days after
Factory Homes receives all funds
4. Employees are not eligible for referral.
5. Only one referral award can be given per customer. If a customer is referred by more than one person,
the first referral received will be the one rewarded if the customer purchases a home.
6. There is no limit to the amount of clients you refer.
7. Along with this form to receive payment you will need to fill out a W9.
Your Information
Your Name:
Date:
Mailing Address
City/state:
E-Mail Address:
Telephone Number:
Referral Information
Candidate Name:
E-Mail Address:
Telephone Number:
Best time to contact:
What type of home is this customer interested in :
For Factory Homes Use Only
Date Received:
Interviewed?
Appointment & Date:
Close Date: