LASR Referral Program Application

We do require referral program members to already own and be familiar with the LASR software.

Your contact Info

This is where we will send your welcome packet, quarterly reports, and payments.

Enter your website URL beginning with "http://". If you don't have one, leave this blank.

Choose your discount code

Discount codes must be at least 4 characters long, may NOT contain any special characters or spaces, and are not case sensitive. Discount codes must NOT be overly generic (example: "LASR10") and must NOT utilize someone else's intellectual property (example: "GLOCK").

Program members are required to provide ACH / Direct Deposit information before they may receive their first payment. Please click here to download the authorization form, fill it out, and follow the directions on the form to return it to us via email. Note: the PDF form is e-signature enabled, so if you open it with Adobe Acrobat, you can sign it electronically. If you do not have access to that software, you can fill out the form, print it, sign it, and scan it or take a picture of it.