LOU FUSZ CHEVROLET MITSUBISHI

5120 N. SERVICE ROAD
SAINT PETERS, MO 63376
Phone: 636-397-2000
Fax: 636-278-2843

$100 Referral Registration Form

Lou Fusz Chevrolet appreciates your referral and we'll prove it with $100! That's right, recommend our dealership to a friend, neighbor, co-worker or relative because when your referral buys their next new or used car from Lou Fusz Chevrolet, you'll be $100 richer!

Please Note: Your Referral's name and phone number MUST be accurate in order to qualify for the $100.

Only those who Pre-Registered get a $100 referral fee.

* Required

Your Information

Your First Name *

Your Last Name *

Phone *

Email Address *

Referral's Information

Your Referral's First Name *

Your Referral's Last Name *

E-Mail of Referral *

Phone Number of Referral *

Relationship to Referral *

Which Lou Fusz employee do you wish to notify about this referral?

Vehicle Your Referral Wants to Buy

* Required

One $100 prize per purchase. You MUST pre-register your referral BEFORE your referral first visits the dealership. Offer valid on new or used vehicle purchases. Referral checks will be mailed immediately after purchase.