Submit Referral

Fields marked with an * are required

Referrer Information

The referrer is the person making the referral

Referrer First Name *

First name of the person making the referral

Referrer Last Name *

Last name of the person making the referral

Referrer Email *

Email address of the person making the referral to send updates about reward progress. A VALID EMAIL ADDRESS IS REQUIRED TO SUBMIT THIS FORM OR IT WILL BE REJECTED AS SPAM.

Referrer Phone Number *

Phone number of the person making the referral in case we have questions about your referral or your reward

Referrer Mailing Address *

This is the address where the referral reward will be sent

City *

State/Province *

Zip/Postal *

Is the Referrer a Solar4Less customer? *

Referral Information

The referral is the person being referred to Solar4Less

Referral First Name * *

First name of the person being referred to Solar4Less

Referral Last Name *

Last name of the person being referred to Solar4Less

Referral Email *

Email address of the person being referred to Solar4Less

Referral Phone Number *

Phone number of the person being referred to Solar4Less. We need this so we can contact them to make an appointment with them to inspect their roof.

Referral Address *

City *

State/Province *

Zip/Postal *

Additional Project information *

Any details or specific information you can share about the project you are referring are welcome

T Bare Representative

If you have a specific representative at Solar4Less you wish to receive this referral, please put their name here. Otherwise, your referral will be assigned to a Solar4Less Representative who is working in your referral's neighborhood.

Full Name of Person Filling Out This Form (If Not Referrer) *

Put your first and last name here if you are filling out this form on behalf of the referrer

Program Details *

I have read the Program Details and understand how the Solar4Less Referral Rewards Program works.
I am submitting this form on behalf of the referrer and acknowledge that if they do not understand the process I will be responsible.

Read Program Details

Submit Referral

Fields marked with an * are required

Referrer Information

Referral Information

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