Referral Program Please fill out the information below to qualify for the referral promo. 1Contact Information2Pick Your Referral Gift3Shipping & Billing information Referral Program(Required)Which company did you refer?Contact Information (who you referred) First Name Last Name Email Your Contact Information First Name Last Name Email Company NameAccount Representative(Required)Pick Your JDP Account RepresentativePaulCraigDJLucyShiannePrincessPaige 3 in 1 Super Solar Power Bank12,000 MAH Solar Wireless Power Bank Includes UL Certified Battery. Wired Charging, Wireless Charging and a Flashlight. Price: UmbrellaManual opening. Ergonomic matte black plastic handle with wrist strap. Price: $50 credit on your next purchaseGet a $50 discount off your next purchase! Price: Pick a Choice(Required) 3 in 1 Super Solar Power Bank Umbrella $50 Credit Billing Address(Required) Street Address Address Line 2 City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Shipping Address(Required) Same as billing address Street Address Address Line 2 City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Additional Information