Vitiligo Support International - HomePhototherapy Referral Program

As a VSI Member you are eligible to earn cash when a person that was referred by you to Amjo Corp orders a Handheld Wand, Panosol II Panel or Foldalite III Full Body Booth.

$25.00 if your friend orders a Handheld Wand
$50.00 if your friend orders a Panosol II Panel
$75.00 if your friend orders a Foldalite III Booth

VitiligoSupport.org Member ID: *

First Name: *

Last Name: *

Your eMail address: *

Please ensure that you provide a complete and accurate email address.
Following submission of this form you will receive an email from "chris@cane.com".
Please make sure that any spam blocking programs that you are using allow
emails from the domain "cane.com" and/or "HomePhototherapy.com".

Friend (1):

VSI ID:

Friend (2):

VSI ID:

Friend (3):

VSI ID:

Any Comments or Questions? Please enter them here:

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