Decatur PowerCore Referrals
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Decatur PowerCore Referrals
Meeting Date (Referral Date)
Date Format: MM slash DD slash YYYY
Referral From
*
Art Rosser
Brooks Mackintosh
Cameron Ferguson
Dale Johnson
Dan DeWoskin
Duncan Cottrell
Jason Conn
Jill Pullen
Joann Taylor
John Bennett
John Kozak
Kelly Reese
Laura Brookshire
Matthew Underwood
Michael Sussman
Mohua Thakurta
Paul Thompson
Rebecca Brizi
Ron White
Sam Lysinger
Tanya Osensky
Troy Logan
A Visitor
A Substitute
Visitor/Substitute Name
Referral To
*
Art Rosser
Brooks Mackintosh
Cameron Ferguson
Dale Johnson
Dan DeWoskin
Duncan Cottrell
Jason Conn
Jill Pullen
Joann Taylor
John Bennett
John Kozak
Kelly Reese
Laura Brookshire
Matthew Underwood
Michael Sussman
Mohua Thakurta
Paul Thompson
Rebecca Brizi
Ron White
Sam Lysinger
Tanya Osensky
Troy Logan
VCO (because you brought a visitor)
Someone Else
Who is this referral for? Give their name and how you know them.
Visitor, substitute, member of another team, etc.?
Examples:
Ed Torrence, substitute
Julie Prospect, today's visitor
Referral Details
Referral Name
*
Referral Company
Referral Phone
Referral Email
Details
CONNECT
*
Member to Prospect
Member to GateOpener
Endorsement Letter
Visitor
Coffee
Member to Member
COORDINATE
*
Done
Will Call You
Expecting Your Call
3-Way Email
3-Way Lunch
PowerPerk
Proposed Appointment Date
Date Format: MM slash DD slash YYYY
Proposed Appointment Time
:
HH
MM
AM
PM
Where?
Bring...
Name
This field is for validation purposes and should be left unchanged.
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