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Referral Intake Form
Referrer (Your) Name
Referrer (Your) Address
Referrer (Your) Email
Referrer (Your) Phone
Is the Referrer (You) a G2 Customer?
G2 Branch Closest to Referral
Additional Information About Project
Any details or specific information you can share about the project you are referring are welcome.
If you have a specific representative at G2 you wish to receive this referral, please put their name here. Otherwise, your referral will be assigned to a Premier Representative who is working in your referral's neighborhood.
I have read the program details and understand how the G2 Referral Rewards Program works.
I am submitting this form on behalf of the Referrer and understand that if they do not understand the process that I will be responsible.
Read the program details here.
Person Filling Out This Form (if not Referrer)
If you are filling out this form on behalf of the referrer, please put your name below.
Submit My Referral