Pygmalion, Inc.

Who do you know that could use our help? Please fill out the referral form below and we will do the rest. To express our appreciation, when your referral becomes a Pygmalion, Inc. client, we will send you a gift of your choice from the following: The Power of the Pitch personally autographed by Gary Hankins or either The Three Tenors in Concert or Louis Armstrong All Time Greatest Hits CD.
NAME	Please fill correct first name	LAST NAME	Please fill correct last name
COMPANY	Please fill company	DEPARTMENT
ADDRESS		EMAIL	Please fill correct mail
CITY		STATE
PHONE	Please fill telephone	FAX
PLEASE CHECK THE STATEMENT THAT APPLIES:
	I spoke with this person about Pygmalion, Inc. He/she is very interested. Please use my name.
	I haven't spoken with this person, but he/she would benefit from this program. Please use my name.
YOUR NAME	Please fill correct name	YOUR EMAIL	Please fill correct mail
YOUR COMPANY		YOUR PHONE	Please fill telephone