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Referral Form

Refer a friend to Berkfield and Company, Ltd

The loyalty our community has shown us is amazing, and our best advertising is the positive response we get from our customers.

We would like to reward those who take the time to recommend Berkfield & Co to their friends and family. Are you happy with our service? Do you know someone who could use our services?

Our Referral Program is a great way to help out someone you know and love while earning a chance to win a Kindle Fire.





Every time you send us a referral, we will mail you a Gift Card and enter your name into a drawing. Once we have received 25 referred names, we will draw a winner who will be invited to the office for a photo opportunity while receiving their Kindle Fire!

Your Information
First Name
Required
Last Name
Required
Your E-Mail Address
Required
Your Phone Number
Required
Your Friend's Information
Friend's First Name
Required
Friend's Last Name
Required
Your Friend's E-Mail Address
Required
Your Friend's Phone Number
Required
Special Comments
Optional
Submission Validation
Required
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