referral

Referral Program

This referral program allows our existing clients and partners to earn earn a thank you for sharing our services with friends and associates. Simply by filling out the form below, a lead is generated and forwarded to one of our account specialists—and shortly after the client starts services, you start getting CASH.

Commission amount is based on a predetermined percentage of payroll, depending on the prospects' industry. Average rate is 50 dollars per 20,000 in annual salary. No more than 5,000 will be paid for any one client; or group of clients with common ownership. Commissions begin to be paid monthly after the third month of services by the new client; and are paid out over a six month period. Commissions are only paid to the initial submitter of a particular client, determined electronically by phone number and/or FEIN.

rfpapp

APPLICATION

Please provide as much information as possible to receive an accurate quote.

Referer Name:

Referer Phone:

Referer Email:

Company Name:

Company Address:

City: State: Zip Code:

Company Phone #: Fax:

Website:

Primary Contact: Title:

Contact Phone #: Email:

Business Type (LLC, C/S Corp, Sole Proprietorship, NPO):

FEIN #

Total # Employees: # of Locations Hours of Operations

Please describe your needs:

State	Job Description	# of Employees	Target Hourly Rate

This quote is based on accurate information submitted and subject to underwriting approval and a satisfactory loss control survey.

Emplify LLC
400 NW 74th Ave
Suite #W
Fort Lauderdale, FL 33317

877-4-EMPLIFY