Partner Convenience Form

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Well Water Warranty Services for Realtors

Contractor/Partner

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Product
Would you like to offer your clients 3 months or just FREE WelGard® Protection?
WelCome, and thanks for expressing interest in being our Partner. We know this partnership will provide significant and ongoing value to your business and clients.

Please complete all fields and submit. We will confirm receipt and process your client’s WelCome Package for timely delivery (to them, unless you would like to personally present your gift).

Our WelCome Package attributes this value to you, and the Invoice (included in the package) indicates that it is paid for courtesy of you and your firm. We will also keep your name in front of this client for the next several months which we hope will result in referrals back to you.

Thanks again for recommending WelGard® Protection – the best well warranty on Planet Earth. We look forward to partnering with you “well” into the future.

If this is your first submission, call us today to be eligible to provide this valuable gift, or complete the information below and we will qualify you.
Let’s get started ! ( It only takes 2 minutes ! )
Name of Partner Submitting*
Submitter’s Telephone #*
Submitter’s E-mail Address*
Hidden
Property Address
COMPLETE THE FOLLOWING TO GET WELGARD® PROTECTION FOR YOUR CLIENTS 3 months or just FREE WelGard®
Buyer/Property Owner Name(s):*
Property Address:*
Street Address City State / Province / Region ZIP / Postal Code
Effective Date:*
MM slash DD slash YYYY
E-Mail address of Buyer/Property Owner:*
Phone #:*
Any known problems with the well?
- Yes
- No
Send WelCome Package to:
- Partner
- Client

At WelGard, our mission is to provide total peace of mind to homeowners with wells by offering comprehensive and affordable well warranty services. We understand the worry that comes with owning a home with a well,

Mail: [email protected]

Phone: 866.935.4273 (866.Wel.Gard)