Remember that for every qualified referral your company submits, you will receive a free month (up to the end of your agreement) of service.  That means if you refer enough companies, you don't have to pay us one red cent.  You may submit a referral in one of two ways, (1) by completing the form below and submitting the information, or (2) telling a potential customer to contact us and mentioning your company's name.  NOTE: For fair business purposes, a qualified referral is defined as a company that has been referred to Howard's Web Design for our services by a customer and actually signs-up.


Customer Account Information

Company Name:

Email Contact:


Referral Company's Information

Company Name:

Company Address1:

Company Address2:

City:      State:      Zip:

Contact Person's First Name:      MI:

Last Name:

Phone (including area code):      Ext:






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