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* 1. Please provide YOUR contact information. The company you enter here will receive the 25% discount should the referral become a Brightline customer.

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* 2. Please provide as much information as you can on the company you are referring.

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* 3. Do you mind if we tell the referral that you referred us?

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* 4. Thanks for the referral.  We will provide feedback to the name and address you provided from time to time.  Also feel free to contact us if you have any questions.

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