Submit a Referral

Thank you for your interest in our referral program! We appreciate your support of Kirnland Food Distribution.

If the Referee spent more than $ 1000 in his/her first order, the Referrer and the Referee will each receive a $100 voucher on their account to be used towards a future order.

We have made it easy for you to participate. Please follow the instructions below to continue:

First, are you a current customer, or not yet a customer with us?

I am a current customer.

I am not a customer (yet).

current

We are happy to have your business! Please fill out the information below. This is how we know who submitted the referral.

Your Name

First

Last

Your Company Name

Your Customer ID (if you have this available)

Your E-mail address

Your Best Contact Phone Number

Referral Submission

This is the part where you tell us who you are referring, so that you both are eligible for account credit! You can refer more than one business to us, and receive credit for all businesses that follow through with your reference!

Now, tell us about the first referral:

Type of company you are referencing

Name of Company you are referring

Reference company website (if they have one)

Name of Reference

First

Last

Their Title or Role

Reference Phone Number

Their Email Address (if available)

Company Address

Street Number and Name (Example: 123 Fortune Way)

Suite or Unit Number (Example: #208, Unit B)

City

State/Province

Zip/Postal Code

Country

Does this reference know about Kirnland Food Distribution?

Yes

Not Sure

Are they anticipating that we will reach out to them?

Yes

Not Sure

Would you like to add an additional reference?

Yes

No, that is all I have for now.

Referral Submission #2

Type of company you are referencing

Name of Company you are referring

Reference company website (if they have one)

Name of Reference

First

Last

Their Title or Role

Reference Phone Number

Their Email Address (if available)

Does this reference know about Kirnland Food Distribution?

Yes

Not Sure

Are they anticipating that we will reach out to them?

Yes

Not Sure

Would you like to add an additional reference?

Yes

No, that is all I have for now.

Referral Submission #3

Type of company you are referencing

Name of Company you are referring

Reference company website (if they have one)

Name of Reference

First

Last

Their Title or Role

Reference Phone Number

Their Email Address (if available)

Company Address

Street Number and Name (Example: 123 Fortune Way)

Suite or Unit Number (Example: #208, Unit B)

City

State/Province

Zip/Postal Code

Country

Does this reference know about Kirnland Food Distribution?

Yes

Not Sure

Are they anticipating that we will reach out to them?

Yes

Not Sure

Would you like to add an additional reference?

Yes

No, that is all I have for now.

Referral Submission #4

Type of company you are referencing

Name of Company you are referring

Reference company website (if they have one)

Name of Reference

First

Last

Their Title or Role

Reference Phone Number

Their Email Address (if available)

Company Address

Street Number and Name (Example: 123 Fortune Way)

Suite or Unit Number (Example: #208, Unit B)

City

State/Province

Zip/Postal Code

Country

Does this reference know about Kirnland Food Distribution?

Yes

Not Sure

Are they anticipating that we will reach out to them?

Yes

Not Sure

Would you like to add an additional reference?

Yes

No, that is all I have for now.

Referral Submission #5

Type of company you are referencing

Name of Company you are referring

Reference company website (if they have one)

Name of Reference

First

Last

Their Title or Role

Reference Phone Number

Their Email Address (if available)

Company Address

Street Number and Name (Example: 123 Fortune Way)

Suite or Unit Number (Example: #208, Unit B)

City

State/Province

Zip/Postal Code

Country

Does this reference know about Kirnland Food Distribution?

Yes

Not Sure

Are they anticipating that we will reach out to them?

Yes

Not Sure

You can submit up to 5 per single submission- so feel free to come back if you have more than 5 referrals! 🙂

new

We are thrilled that you are considering doing business with us! If you came here because of a referral, or by other means, new customers are always eligible for specials when signing up and placing an order with us. Fill out the form below so we can share some of these great specials with you!

Type of Company

Company Name

Company website (if you have one)

Your Name

First

Last

Your Title

Your Phone Number

Your Email Address (if available)

Your Company Address

Street Number and Name (Example: 123 Fortune Way)

Suite or Unit Number (Example: #208, Unit B)

City

State/Province

Zip/Postal Code

Country

Where did you hear about Kirnland Food Distribution?

I was referred by someone else.

I found you online.

I saw one of your trucks.

I saw an advertisement.

How would you prefer we reach out to you?

By Phone

By email

By text

If you have additional comments or questions, please let us know.

I understand that by submitting this form, I agree to the site Terms & Conditions as well as this particular form's Terms & Conditions, which specifies information regarding the referral program.

I Agree

If you are human, leave this field blank.