Customer Referral Program Submission Form — Form Fields
This marketing template includes 10 fields. Allow existing customers to submit referrals and claim their referral rewards. Free to customize and use on ZenBuild.
Your Full Name (text, required)
Your Email Address (email, required)
Referred Person's Full Name (text, required)
Referred Person's Email (email, required)
Referred Person's Company (if B2B) (text, optional)
How Do You Know This Person? (dropdown selection, required) — options: Colleague, Friend, Family Member, Online Community, Industry Event, Other
Which Product/Service Are You Referring Them For? (dropdown selection, required) — options: Core Platform, Pro Plan, Enterprise Plan, Specific Feature, Not Sure
Why Would They Benefit From Our Product? (long text, optional)
Has the referred person been told about the referral? (multiple choice, required) — options: Yes, No
Preferred Reward Type (dropdown selection, required) — options: Account Credit, Gift Card, Discount on Next Renewal, Cash via PayPal
