Submit Referral - Chanimal University

Referral Form

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YOUR Information
Please include your information so we make sure you get credit for the referral.
Affiliate User Name*
Please add your affiliate user name (typically your login name). Type UNKNOWN if you don't know, or are not yet an approved affiliate but still want to submit a referral.
Your Name*
First Last
Your Email*
Your Phone*
Today's Date*
MM slash DD slash YYYY
Prospect Details
Contact information for the prospect you would like to refer
Prospect - Company Name
Name of the Company if applicable. Type NONE if it is an individual.
Prospect Name*
Name of the individual or primary contact
First Last
Prospect Contact Email*
Prospect's Phone
Include their phone number--if known
Website
Include their website if applicable
Which Products or Services?
Service or Product Type*
Which services or product type do you think they would be interested in?
- Micro Consulting
- Certification Course
- General Channel Training
- Reseller Portal
- Other
Product Details*
Details about the products or services they may have interest in
How Many Users?*
Estimate the number of potential users--applicable for courses. Otherwise, the apx. size of the group.
How Soon?*
Apx how soon are they looking to make a decision?
- Immediately (contact NOW)
- Within 2-4 weeks
- 4+ weeks
Competitors?
What other options are they considering?
Tell Us About The Prospect?*
What have you told them so far? Any unusual circumstances or dynamics?
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.

Please complete the form to submit a referral.

Most of the time, your referrals can use your affiliate link (found in the Affiliate LOGIN area on the footer of this page). If they purchase from the store, the system will automatically give you credit and it will show up within your affiliate area stats.

However, if the prospect has questions about Micro Consulting, any of the courses, or if it is a multi-user opportunity – then you would submit this form and we can contact them (usually within the hour) to answer any questions.

If they purchase, we will notify you by email, and we will usually add their details into the affiliate system so you can see the progress–including your commissions.

Thank you in advance for your referral,

Ted Finch
CEO & Founder
[email protected]
512-263-9618

Referral Form

YOUR Information

Prospect Details

Which Products or Services?