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Customer Referral Form


I understand that by clicking submit, I am referring the party(s) I have entered above for the purpose of obtaining information about the products and/or services provided by Pink Energy. I give Pink Energy permission to contact the party(s) I have listed above on my behalf, and that I will alert the parties I have entered into this form that Pink Energy will be contacting them. I understand that Pink Energy will contact this party(s) by text message and/or phone call and that voicemails may be left as a result.
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