My Boss's Web Site Stinks Referral Form


If you can't stand your employer's web site, and you would like Distant Horizon to redesign the web site so that your boss can experience more success on the web, we will help you make it happen, and we will give you a $100 cash if the deal closes to "thank you" for putting us in a position to talk with your boss and show them the importance of a strong web presence. You don't have to give them a hard sell, you just have to arrange for us to have a free phone or in-person consultation.

About You:
Employee Name
Home Address
Home Address 2
City
State
Zip
Employee Cell Phone
Employee E-Mail

About Your Boss
Boss's Name
Company Name
Company Address
City
State
Zip
Boss's Phone Direct Line
Boss's Cell Phone

About the Web Site:
Web Site Address:
Tell us what you know about how the web site ended up in this state of affairs:
Who else in the company is involved with the web site?

What factors do you think are most important in us successfully closing a deal with your boss:
  My boss is big on strategy
  Don't confuse my boss with technical babble
  Show how the website can make us money
  Come in with the cheapest price
  Prove that you will get the job done
  Show your company’s stability
  Show how you can make it look more professional
  My boss is concerned about search engine rankings

Did you tell your boss that you were going to contact us?
Yes
No

When do you think we could come in for a free consultation?

Where are you located?
How did you hear about us?
Other:

Terms:

This offer only applies to the first person that fills out this form in each company. Distant Horizon reserves the right to refuse to work with any individual or company. You must work for, or have a direct relationship to the owner of the business you are submitting, in other words, no submitting random bad web sites. Distant Horizon reserves the right to cancel this offer at any time without notice. Each individual is limited to five submissions.
© 2007 Distant Horizon Inc. All rights reserved.