CBD/Hemp Referral Submission Form

Your Information

(Please fill out your details to ensure you receive credit for the referral.)

Preferred Name *

Last Name *

Phone *

Business Email *

Referral Information

(Please provide the details of the person/business you are referring.)

Referral’s Full Name *

Referral’s Business Name: *

Referral’s Email Address: *

Referral’s Phone Number: *

Additional Notes: (Optional – e.g., relationship, specific needs, or comments)

I agree to the Privacy Policy provided by Herring Bank. By providing my phone number, I agree to receive text messages from Herring Bank.