Customer Referral Program Enrollment

Customer Referral Program Enrollment — Form Fields

This marketing template includes 8 fields. Existing customers enroll in a structured B2B referral program. Free to customize and use on ZenBuild.

• Your Name (text, required)
• Company Name (text, required)
• Email Address (email, required)
• Your Account Manager (text, optional)
• Preferred Reward Type (dropdown selection, required) — options: Account credit, Gift card, Charitable donation, Swag
• Do you have a referral to submit now? (multiple choice, required) — options: Yes, No – I'll submit later
• Referral Contact Name (if now) (text, optional)
• Referral Contact Email (if now) (email, optional)