Your Contact Information:
Name:
Address:City:
State:Zip:
Email:Phone:

The Person You Are Referring:
Name:
Address:City:
State:Zip:
Email:Phone:

TERMS/DISCLAIMER: Referral Forms MUST be submitted prior to customer contacting JenRan Homes via internet, telephone or in person. If prior contact record has been established, no referral fees will be owed or paid. Void where prohibited by law. All taxes are the sole responsibility of the recipient.
Not available to JenRan Homes Personnel and their immediate families. Promotion may be discontinued at anytime without notice. In the case of duplicate referrals for a single individual, a referral fee will only be paid to the referring party referenced by the buyer at the time of contract. Participants will be required to provide social security numbers for tax purposes prior to receiving referral payments.  Referral fee is paid after payment and delivery of package from either Harvest Homes, Integrity Building Systems, Moosehead Cedar Logs or TimbeRoof. 
I have read and agree to all terms and disclaimers.