Client Referral Form

This form is for current clients or individuals that would like to refer a company to 5-Star Solutions, Ltd Remote Backup Service. Referrals are followed up by 5-Star Solutions, Ltd or an Authorized Dealer/Agent within two business days.

Our current Client Referral Program benefits for our current clients are:

Referred client monthly services are equal to or less than your monthly services.	Referred Client maintains Remote Backup Service for a minimum of six months (not including free trial)	You earn 2 Weeks FREE Remote Backup Service (at the end of your annual contract)
Referred client monthly services are more than your monthly services.	Referred Client maintains Remote Backup Service for a minimum of six months (not including free trial)	You earn 1 Month FREE Remote Backup Service (at the end of your annual contract)

Please provide your information:

First Name

Last Name

Title

Company/Org.

Work Phone

FAX

E-mail

URL

Please provide you or your company account name with 5-Star Solutions RBS:

Account Name

Please provide the following contact information for the Company/Individual you are referring to us:

First Name

Last Name

Title

Company/Org.

Work Phone

FAX

E-mail

URL

5-Star Solutions, Ltd relies on referrals from clients and others to help promote our business as well as help keep our customers cost as low as possible. Since we do not spend enormous amounts of money on advertising your help is appreciated and rewarded by providing Free and reduced services whenever possible as our way of saying "Thank You".

In order to submit this form you must enter "I AGREE" in the box (without the quotation marks) indicating that you understand that you are a current client and are aware of the terms in order to receive free service.

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Last modified: 10/19/06