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ARC Referral Form
Customer Referral Form

Customer Information

Name
Name
First
Last

Referral Information

Name
Name
First
Last

Sales Information

Sales Rep Name
Sales Rep Name
First
Last

Thank you for being a valued ARC Customer. This form is required in order to process the Referral Fee promised by your sales representative. Please be advised that processing times are based on the actual final funding date of the referral project installed. Upon final funding, ARC will process the Visa Gift Card within 60 days and mail the gift card directly to the address provided by you. Again thank you for your help and we value you as a customer.