Please fill out the following form for each person you would like to refer. Fields marked with an * are required.

Each month, a raffle participant will be randomly selected, and they will have the option of receiving one of the following prizes of their choice:

  • 10" iPad (2018) – 32GB model
  • 10" Samsung Galaxy Tab A – 16GB model
  • Samsung 850 EVO Internal SSD – 500 GB model
  • WD Passport Ultra External USB 3.0 Hard Drive – 2TB model

In order to be eligible for the monthly prize drawing, you must refer a colleague, not yourself.

Your Information

Referral Information

Please indicate areas of interest.  Hold down the CTRL key to select multiple courses.