Liquiscene Newsletter
Liquis Design invites you to take part in our
Customer Referral Program!
It’s easy… you don’t even have to be our client!
Here’s how it works:
Simply fill out the form below with your information.
If your referral turns into a new Web design contract with us we’ll send you a
$50 VISA gift card!
Your Information
First Name*:
!
Last Name*:
!
Street Address*:
!
Suite# :
City*:
!
State*:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
!
Zip*:
!
E-mail*:
!
Phone :
Referral Information
Full Name :
Company :
E-mail :
Phone :
*Note: We will not make cold calls to referred companies or individuals. This program is intended as a “Thank You” for those who refer business to Liquis Design. It is the responsibility of the referred company or individual to initiate contact.
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Phone: (623) 239-3680 |
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