1. Referral Connection
your Name:
Home Address:
City, State, Zip
Phone:
Email:
I know an employee of 18 Stories: Y N
18 Stories acquaintance:
Referral Name:
Title/Position:
Company:
Address:
City, State, Zip
Phone:
Fax:
Email:
How I know this referral:
It might be helpful to know:
I understand that by submitting this Referral Connection I am eligible for a 10% referral commission (or a donation
made on my behalf) for each project closed with this referral for a period of twelve month from today’s date. This
opportunity is valid if, and only if:
• 18 Stories does not currently do business with the referral organization.
• 18 Stories delivers and is paid in full for a project(s) with the referral organization.
• I complete, sign and return the provided W-9 documentation in conjunction with my first referral commission
(required for potential 1099 filings).
• I acknowledge and accept the parameters of this program by and through the submittal of this referral.
Name/Signature:
Print & Fax to:
email
or
630.544.5227
