Give us names of friends, family or coworkers who want to get in their Element. Rewards are for everyone!
Your Name
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Your Account/Member #
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Your Phone #
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Your Email
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Friend #1 Referral
Make sure your friend knows you are doing this :)
Friend #1 Name
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Friend #1 Phone Number
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Friend #1 Email
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Friend #2 Referral
Skip if not applicable
Friend #2 Name
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Friend #2 Phone Number
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Friend #2 Email
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Other information we need to know?
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Thank You
We'll process your request and set you up with your rewards!