Referrer Referral Program Sign Up

To join the Shleppers Referral Program, please fill out the form below.
* Denotes required fields
First Name *
Last Name *
Email *
Re-type Email *
Account Password *
Retype Password *
 
Home address
Address Line1
Address Line2
City
State
Zip Code
 
Business address
Address Line1
Address Line2
City
State
Zip Code
Where would you like your commission checks to be mailed?
 
Contact Numbers
Home - -
Home Fax - -
Work - -  Ext. 
Work Fax - -
Mobile - -
Additional info

If you want to alert a specific person at Shleppers that you made this referral, please choose the name here:
Company Employee
I accept the terms and conditions *

Terms & Conditions Pages

  1. All commissions are based on the final price of the moving job. Elements of cost that are excluded from the commission calculation are: storage fees, tolls, charges for certificates of insurance, and any other cost not related to the labor or packing materials.
  2. The commission rate is 7.5% for local moves and 5% for long distance moves.
  3. To be eligible for the referral fee, your submission must be received within seven days of the first contact Shleppers has with your referral.