Refer-a-Friend to GoMadison & Get Paid!

Today's Date*

Your First and Last Name*

Your Madison Acct# (if applicable)

Your Street Number and Street Name*

Your City*

Referring Zip Code*

First and Last Name of the person you are referring to Madison?*

Their Street Number and Street Name*

Their City and Zip Code*

Would you prefer a one time bill credit or a VISA gift card?*

Bill Credit on my Madison account

VISA Gift Card

Send me a copy of my responses

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