Refer A Friend

After applying to be a referral partner with Home-Tech you can submit a referral at any time.

New Service Agreements go into effect 10 days after payment is received by Home-Tech.

Your Name*
First Last
Your Phone*
Your Email*
Who is your Home-Tech Representative?*
Referral Reward Option*
- Credit Future Purchase
- Credit This Purchase
- Check
Your Friend's Information
Friend's Name*
First Last
Friend's Phone*
Friends's Email*
Friend's Address*
Street Address City ZIP Code
Additional comments or instructions
Receive Home-Tech Offers and News
- Receive Home-Tech Offers and News
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Email
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