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<td> </td></tr> <tr><td align="right"> Last Name: <td> </td></tr> <tr><td align="right"> Day Phone: <td> </td></tr> <tr><td align="right"> Address: <td> </td></tr> <tr><td align="right"> City: <td> </td></tr> <tr><td align="right"> State: <td> </td></tr> <tr><td align="right"> ZIP Code: <td> </td></tr> <tr><td align="center" colspan="2"> Service you think they may need:&nbsp;&nbsp;&nbsp; <input type="checkbox" name="needservice" value="needsPest">Pest Control &nbsp;&nbsp;&nbsp; <input type="checkbox" name="needservice" value="needsTermite">Termite Control </td></tr></table>

<!--DISCLAIMER: START--> <table width="565" align="center"><tr><td> <p class="legal"> Referring customer will receive a Credit Voucher only if referral purchases Rudy's service within six months from the date Rudy's receives the referral from referring customer. The Credit Voucher expires 12 months from the issue date as shown on the Credit Voucher. Credit will be issued to customer account only upon receipt by Rudy's of an unexpired Credit Voucher. Credit Voucher is valid for issuance of a credit to a termite or pest control account of a current Rudy's customer only. If the referring Rudy's customer cancels their Rudy's service(s) with an outstanding voucher credit to their account, that voucher credit will be cancelled and will no longer be available to the customer. The Credit Voucher is valid only at participating locations. Credit Voucher is not redeemable for cash, does not entitle referring customer to a cash refund in the event of a cancellation of their service and is non-transferable. If a referral appears on a state or national Do Not Call list or Do Not Solicit list, Rudy's will not initiate contact with the referral. </p> </td></tr></table>
<td> </td></tr> <tr><td align="right"> Day Phone: <td> </td></tr> <tr><td align="right"> Acct Number: <td> </td></tr> <tr><td align="right"> Address: <td> </td></tr> <tr><td align="right"> City: <td> </td></tr> <tr><td align="right"> State: <td> </td></tr> <tr><td align="right"> ZIP Code: <td> </td></tr> <tr><td align="right"> * E-mail: <td> </td></tr> <tr><td align="right"> <td> (Please provide your address if you would like to receive e-mail on other home services from Rudy's.) </td></tr> <tr><td align="center" colspan="2"> How would you prefer to be contacted by Rudy's in the future? (Check all that apply.) <table width="400" cellpadding="0" border="0" cellspacing="0"><tr><td> <input type="checkbox" name="prefertocontact" value="prefertocontactPhone"> Phone </td> <td class="bodytext" align="center"> <input type="checkbox" name="prefertocontact" value="prefertocontactMail"> Mail </td> <td class="bodytext" align="center"> <input type="checkbox" name="prefertocontact" value="prefertocontactEmail"> E-mail </td></tr></table> </td></tr>
REFERRALS
<table align="center" border="0" width="565"> <tr> </tr> </table> <br> <table width="565" align="center" border="0"> <tr> <td colspan="2"> <b>Refer your family, friends or neighbors to Rudy's</b> and for each person who becomes a pest control plan customer, you'll save $60 on your Rudy's service. Or, for each person who becomes a termite plan customer, you'll receive $100 off. It's our way of saying thank you for entrusting Rudy's with your home and with the people you care so much about. <table width="97%" align="center" cellpadding="0" cellspacing="0" border="0"> <tr> <td> <b>SAVE on your Rudy's service</b> when you refer your family, friends or neighbors to Rudy's. For each referral who purchases a Rudy's service, you will receive a credit voucher in the mail that can be applied to your own Rudy's account! </td> </tr> <tr> <td> <ul style="line-height:25px"> <li>$60 credit if your referral purchases pest service <li>$100 credit if your referral purchases termite control <li>$160 credit if your referral purchases both termite and pest services </ul> </td> </tr> </table> </td> </tr> <tr> <td class="bodytext" valign="top" width="50%"> </td> </tr> </table>
<table cellpadding="0" cellspacing="0" border="0" width="565"><tr><td align="center" colspan="2"> <b>Your Information.</b> Please provide your Rudy's account information so we may accurately provide you credit.

</td></tr> <tr><td align="right"> * First Name: </td> <td> </td></tr> <tr><td align="right"> * Last Name:
<!--end referrer form--> <br><br> <!--start referral form--> <table cellpadding="0" cellspacing="0" border="0" width="565"><tr><td align="center" colspan="2"> Your Family, Friends and Neighbors.</b> List below someone close to you that may benefit from Rudy's service. Additional referrals can be added after each submission. Residential service only, please. Excludes franchise markets and households located outside of the Rudy's service area.

</td></tr> <tr><td align="right"> First Name: