$100 / $50 Referral Registration Form
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Lou Fusz Nissan appreciates your referral and we'll prove it with $100! That's right, recommend our dealership to a friend, neighbor, co-worker or relative because when your referral buys their next new or used car from Lou Fusz Nissan, you'll be $100 richer!
Please Note: Your Referral's name and phone number MUST be accurate in order to qualify for the $100.
Only those who Pre-Registered get a $100 referral fee. Those who do not, get $50. Sorry, no exceptions, unless you personally bring in your referral, in person! It pays to Pre-Registered.
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Your Information
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Your First Name(Required)
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Your Last Name(Required)
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Street Address to send $100(Required)
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City(Required)
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State(Required)
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Zip(Required)
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Email Address(Required)
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Phone(Required)
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Referral's Information
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Your Referral's First Name(Required)
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Your Referral's Last Name(Required)
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Relationship to Referral(Required)
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Date of Appointment(Required)
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Which Lou Fusz employee do you wish to notify about this referrral?
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Time of Appointment(Required)
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Your Referral's Street Address(Required)
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City(Required)
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State(Required)
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Zip(Required)
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Phone Number of Referral(Required)
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E-Mail of Referral(Required)
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Vehicle Your Referral Wants to Buy
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Any field with a (Required) is required
One $100 prize per purchase. You MUST pre-register your referral BEFORE your referral first visits the dealership. Offer valid on new or used vehicle purchases. Referral checks will be mailed immediately after purchase. |
