Referral Rewards Form

Please fill out the form below. Note that all fields are * required and must be complete in order to successfully submit your referral rewards form.

Your Contact Information
*Your First Name:
*Your Last Name:
*Address:
*City:
*State:
*Zip Code:
*Phone:	(xxx) xxx - xxxx
*Email:
*Group Number:
*Graduation Year:
*Relationship to Referred:

Prospective Student Information
*Their Name:
*Address:
*City:
*State:
*Zip Code:
*Phone:	(xxx) xxx - xxxx
*Email:
*Campus of interest:

TERMS AND CONDITIONS:This offer is restricted to National Holistic Institute students and graduates. National Holistic Institute, Inc. employees are not eligible to participate. Limit one (1) gift card per person per calendar year. Not valid with any other offer. No cash, cash value, or cash equivalents will be awarded. In order to be eligible to receive a gift card, the referral must not have previously contacted National Holistic Institute regarding admissions. Also, the referral must have attended class for a minimum of 2 weeks and be in good academic and financial standing. Please allow 2-4 weeks for delivery. Only standard mailing is available. All rights reserved. National Holistic Institute, Inc. and its campuses are nationally accredited by the Accrediting Council for Continuing Education and Training (ACCET) and federally regulated by the U.S. Department of Education (DOE). This Rewards Program complies with all ACCET and DOE regulations.

’“My practice, The Ultimate Touch, is thriving. My client base allows me to work full-time. I also worked at the Okinawa Karate Tournament through NHI’s event participation program. Wow, what a great experience! I really got the chance to learn how to market myself! And I had a lot of fun!”

– Yolanda Smith, NHI Graduate

National Holistic Institute • 5900 Hollis Street, Suite Q • Emeryville, California 94608 1.800.315.3552 • nhi@nhi.edu

Referral Rewards Form

Your Contact Information

Prospective Student Information