Referral Form . . .

To participate in the Referral Bonus Program simply fill out the form below. Be sure to tell your referral to mention you when they contact Taylor Home Improvements!

Your Information
First Name *
Last Name*
E-Mail *
Mailing Address*
City*
State*
Zip*
Phone*
Referral's Information
First Name*
Last Name*
Address*

SECURITY CODE:	Please Enter Security Code
*Offer valid only to previous customers of Taylor Home Improvements. The referral customer must inform me of referral durring my initial visit. You will recieve a check for $100.00 when the purchase of $2500.00 or more has been completed and funded by the referral customer. Offer is subject to change without notice. In the event the referral program changes or ends and a referral has been made and the funds are paid in full for the entire project, the referral dollars will be paid accordingly.

Quality work . . .. . . Affordable prices
	Office: (845) 887-5949 Cell: (845) 807-1774