Formulário de inscrição para o programa "Indique um amigo"

Cadastro no Programa Indique um Amigo

Envie este formulário ANTES que seu amigo se inscreva no programa CommuteWorks que você indicou para ele, a fim de ter direito ao cartão-presente da Amazon de US$ 25.

Referrer Information
Participation
Check all that apply
Are you a current or past participant in any CommuteWorks programs?
Source
Check all that apply
How did you learn about the Refer-A-Friend Incentive?
Referred Friend Information

Release of Liability

The referring individual acknowledges that in order to receive the incentive award of the $25.00 Amazon gift certificate the following terms and conditions must be met: 

1. The individual referred must enroll in and complete the CommuteWorks Program;  

2.  The referring individual must be a current employee of the CommuteWorks Program Member Institution at the time the referred individual completes the CommuteWorks Program;

3. The referring individual acknowledges that neither CommuteWorks nor the CommuteWorks Program Member assumes responsibility for any tax consequences resulting from the award.  The referring individual will confer with their own tax advisor on this matter; and,

4. The referring individual understands that they may be contacted by MASCO concerning commuting and transportation related information; or, to request feedback regarding commuting and transportation services. 

Thank you for registering for the CommuteWorks' Refer-A-Friend Incentive. By submitting this form, you agree to the terms & conditions stated above.

Please hit Submit now to send your info.