Trap Your Moles Referral Program Form

Please fill out both sections for Referrer AND Referral. When you are finished, please make sure you submit the form. Submission of this form is necessary in order to receive referral discounts and bonuses. If you choose to print and mail this form, please send it to the P.O. Box listed in the footer of the page.

  • Referral Information

  • This field is for validation purposes and should be left unchanged.