You can register as many individuals as you wish in June/July 2010 and will be eligible to receive a free $50 gift certificate once your referral makes $1,000 in combined Paisley Protectives purchases provided they do so in the next 6 months.

Complete the following form to register your referral(s).

Your Information: *
First Name:		Last Name:
Company:		Street Address:
City:		Province:
Country:		Postal Code:
Tel:		Fax:
Email Address:
Your Referral #1's Information: *
First Name:		Last Name:
Company:		Street Address:
City:		Province:
Country:		Postal Code:
Tel:		Fax:
Email Address:		Project: (if applicable)
I think my referral will be interested in the following products:
Xmark Surface Protection
Xmark Floor Underlayments
Xmark Housewrap and Roof Underlayment
Sealants and Coatings
Other
Your Referral #2's Information: (Optional)
First Name:		Last Name:
Company:		Street Address:
City:		Province:
Country:		Postal Code:
Tel:		Fax:
Email Address:		Project: (if applicable)
I think my referral will be interested in the following products:
Xmark Surface Protection
Xmark Floor Underlayments
Xmark Housewrap and Roof Underlayment
Sealants and Coatings
Other
SUBMIT