CUSTOMER REFERRAL

You never know when you could come across someone that would be a potential ‘new customer’ of Lewis. Current customers will now be financially rewarded for referring business to Lewis. Please submit names of business contacts that could become a potential Lewis customer. If they open an account and place an order within 90 days, you receive a $25 Visa Gift Card as a thank you.

Your Business Name*

Your Name

Lewis Account Number

Customer Referral Information:

Referral Business Name

Referral Contact

Referral Address

Referral Telephone Number

Referral Email Address

*You will receive a $25 Visa Gift Card if your referral opens an account & places an order within 90 days from the referral date. A new customer is one that has never placed an order with Lewis.

*If you have more than one referral, please fill out the form a second time and submit.