Referral Form

Referral Form

Going the extra mile to keep on sharing the awesomeness of GDX
Facilitator Name*

First NameLast Name
Please choose one of the following referral types:
- Return: Contact that has been to us who wants to return.
- Attendee: A participant at an event.
- Referred Contact: A contact who is not present at GDX but was referred to us by an attendee or returning contact.
- Friends and Family: This should make sense.
Type of Referral*

ReturnAttendeeReferred ContactFriends and FamilyI don't know which one to choose.
Client Name*

First NameLast Name
Company/Organization Name*
Client Email*
example@example.com
Client Phone*

Area CodePhone Number
Type of Group

AdultStudent
Desired Date of Event

MonthDayYear
Date
Participant Number
Next Steps (check all that applies)

Ready to book!More information about the events we offer (pricing, event type, etc.)More resources (Games We Play write-ups, etc.)Not sure, but they were interested in GDX
Notes
Please leave as much information as possible from the conversation.
Should be Empty: