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Referral Form

Refer a friend to Hylant

We love referrals! The greatest testament that our customers can provide is referring their friends and family to Hylant. Thank you for your referral, and we thank you even more for your continued business.

Your Information
First Name
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Last Name
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Your E-Mail Address
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Your Phone Number
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Your Friend's Information
Friend's First Name
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Friend's Last Name
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Your Friend's E-Mail Address
Required
Your Friend's Phone Number
Required
Special Comments
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Submission Validation
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Hylant Headquarters
811 Madison Avenue
Toledo, OH 43604
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Phone: 800-741-3490
Fax: 734-741-1850
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