SHARE SHSMD | 2022 Member Referral Program

Valid contact information required for all fields

Get a $25 Amazon Gift Card when when a colleague you have referred becomes a new SHSMD member.

Refer a friend to SHSMD, and write a personal note about why they should join.
SHSMD will share your message with your friend.
Once your friend is a confirmed* SHSMD member you will receive a $25 Amazon gift card.

Click here for more information, including official rules.
*New member must be confirmed using the email address provided.

Question Title

MEMBER REFERRAL| About You

First Name:

Last Name:

Title:

Organization:

Address:

City:

State:

ZIP:

E-mail Address:

Question Title

PROSPECTIVE MEMBER | About the Person You're Referring

First Name:

Last Name:

Title:

Organization:

Address:

City:

State:

ZIP:

E-mail Address:

Question Title

PERSONAL MESSAGE | From You to the Prospective Member

Note: Prospective members will receive promotional communications from SHSMD. They may opt out at any time.