Referral Confirmation Form

This form is to confirm the legitimacy of the referral relationship as outlined in the

Official Rules for the Referral Rewards Promotion for Greg Whitesell-Photography.

 

 

Name:

 

Address:

 

Email Address:

Phone Number:

Promotion Id Number:

 

Signature: __________________________________________Date:

 

 

Referred Client Name:

 

I confirm that the above individual referred me to

Greg Whitesell-Photography in order to book my event.

 

Signature: __________________________________________Date:

 

Date of Event:

Circle one: Wedding/Mitzvah

 

 

Client Address:

 

Email Address:

Phone Number:

 

 

Note:  This form must be completed and sent within 10 days of initial

booking of referred event.

 

Send completed form to:

Greg Whitesell – Photography

3925 Rhode Harbor Road

Edgewater, Md 21037