Distributor Referral Form

Earn money referring POS & NRS PAY!

REFERRING A BUSINESS IS SIMPLE:

Complete this form carefully – Please provide accurate information.
Let your friend know that a sales agent will contact them regarding your referral.
If the POS and/or NRS PAY are a fit for the business, we will complete the sale.
After 90 days, within 45 days you’ll get your referral reward.

Refer as many businesses as you like – NO LIMIT!

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Enter Your Information

Name*

First Name Last Name

Your Phone Number*

Your Email*

Name of Your Business

Business Store Name*

Business Owner Name*

Business Owner Phone Number*

Business Owner Email*

Business Address*

Street Address Address Line 2 City State ZIP Code

This store is interested in:*

Making Money With The NRS POS

Save Money With The NRS PAY

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