We know the best advertising is "word of mouth", so we decided to reward you for every new customer you refer to us! This quarter’s prize is an iPod nano!

Our Referral Program is easy!

1. Think of people or companies* that you know have I.T. Headaches. We can write them a prescription!
2. Fill out the form below. Please let them know that we will be contacting them, and ask them to let us know what their biggest pains are!
3. We put your name into our quarterly drawing!

Please fill out and submit the form at the bottom of this page!

*Companies that qualify should answer YES to the following:

• Do you have a server or need one installed and/or upgraded?
• Are you currently outsourcing or looking to outsource?
• Do you run Microsoft Windows?
• Are you looking to increase their business revenue and improve business progression with a website?
• Are in or surrounding the Tampa Bay Area (for I.T. work; website work has no distance limitations)?

If we write the contacts you provide a prescription, your name will be entered in the annual Grand Prize Drawing. This prize basket has a value of $500 dollars! Your name is entered into the drawing for each person’s contact information that you provide!  A detailed report of the drawing will be released after each drawing at the end of each quarter. Contact information that is not valid does not count toward the drawing.

	Your Information
Your Name:	Your Name is required.
Company Name:	Your Company Name is required.
Phone Number:	Your Phone Number is required.
Email Address:	Your Email Address is required.Invalid format.
	Referral Information
Referral Name:	Name is required.
Title:	Title is required.
Company Name:	Company Name is required.
Email Address:	Email Address is required.Invalid format.
Phone Number:	Phone Number is required.
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