Lifetime Epoxy Customer Referral Submission Form
Refer a Friend or Family Member 
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If they purchase a floor, you receive a $100 Visa Gift Card.
Fill out the form below.

Follow these simple steps to get your $100 are:
1. Ask a friend or family member if they would be interested in receiving a free Lifetime Epoxy Floor Quote.
2. If they say yes, use the Referral Sign-up Form Below.
3. If they accept the quote and purchase, you will receive your $100 Gift Card.
Restrictions: The customer must purchase within 30 days after the estimate. There is no limit on the number of referrals you submit.