REFERRAL FORM Thank you for participating in the Filter Employee and Client Referral Program! To receive a referral reward, you must complete and submit this form to [email protected]. If you have any questions about eligibility for the reward or this form itself, please submit them to the same email address. After you submit the completed form, we will contact you to confirm that we have received your referral. THANK YOU for referring to Filter! Please complete the information below, save and then send it to us. Todays Date: Referred Professional’s Information Your Information First name: First name: Last name: Last name: Phone number: Phone number: Email address: Email address: Title: Title: Company: Company: Does this person know that you are referring them to Filter for consideration? Yes No Please identify the job posting you're referring them for, if any: Please specificy if this is a candidate or client referral and tell us more about how you know them: Are there other comments you would like to share about the referral? Eligibility: Anyone is eligible for a referral reward – unless you are full-time Filter office staff or their immediate family/significant other. Anyone - client or candidate - who hasn’t communicated with someone at Filter in the last 12 months can be considered for referral. Please email this form to [email protected] or mail it to Filter: 1505 5th Ave, Suite 600, Seattle, WA 98101 FILTERDIGITAL.COM | 800.336.0809 SEATTLE | PORTLAND | SAN FRANCISCO | LOS ANGELES | AUSTIN