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Referral Agreement This Referral Agreement (the Agreement) is entered into as of __________________ (date) by and between __________________ (name of corporation), a corporation organized and existing under the laws of the State of __________________, with its principal office located at _____________________________________________ (street address, city, county, state, zip code), referred to herein as __________________ and __________________ located at ________________________ on the Worldwide Web with its main office located at _____________________________________________ (street address, city, county, state, zip code), and referred to herein as __________________ . For and in consideration of the mutual covenants contained in this Agreement, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties agree as follows: 1. Whenever any customer of __________________ shall order an arbitration related form from the Website of __________________ at the following web address: __________________ __________________ shall recommend the services of __________________ in the follow manner _______________________________________________________________ (describe). 2.This Agreement shall be governed by, construed, and enforced in accordance with the laws of the State of __________________.3. This Agreement may be terminated with or without cause immediately by either party upon notice to the other party.WITNESS our signatures as of the day and date first above stated.__________________ __________________ By: _____________________ By:_______________________________