Generate an extra income by using our generous Referral Program.

1. ENERGY
$500 REFERRAL AWARD!
Please complete the following information to claim
your $500 BlueChip Referral Award
YOUR INFORMATION:
Name YOUR AWARD!
E-mail You receive a $500 Customer Referral Award
for each referred customer who purchases a
Phone
BlueChip Energy™ System. The $500 award is
Address distributed subsequent to system installation.
City This offer is available to the General Public located
State Zip within the Continental US and is not available
to Employees, Dealers, Distributors or otherwise
What is your related parties.
relationship with
the referral? Expires: 12/31/2010
REFERRAL INFORMATION:
Name
E-mail
Phone
Address
City
State Zip
Please submit this form to:
BlueChip Energy™
Attn: Customer Referral Award
400 Rinehart Rd., Suite 1060
Lake Mary, FL 32746
Fax: (407) 333-9143
Email: info@bluechipenergy.org
For Questions or concerns, please e-mail BlueChip Energy™ at info@bluechipenergy.org or call 888-731-BLUE (2583).
Please visit our website at www.BlueChipEnergy.org BCE ENG 12 09 09