Distributor Referral Form - National Retail Solutions

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!

"*" indicates required fields

Enter Your Information

Name*

First Name Last Name

Your Phone Number*

Note: US & Canada only

Your Email*

Name of Your Business

Referred Business Info

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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*By submitting the information above, you agree to our privacy policy and terms, which affect your rights, and consent to NRS contacting you by recurring email or calling you, by text message, direct dial, using an automated system or prerecorded voice, and/or using artificial intelligence to discuss NRS’s products and services. Consent is not required to receive any service, and you may opt out at any time.

Phone

This field is for validation purposes and should be left unchanged.

Refer the NRS POS+ System to Your Customers

Enter Your Information

Referred Business Info

Refer the NRS POS⁺ System to Your Customers