Referral Contact Form Page
Capture qualified leads through trusted referrals, not random sign-ups.
Designed for B2B, software, and service businesses that convert through conversation.
This single-sided referral form template routes leads directly into your referral program, every submission tracked and rewarded automatically.
Designed for B2B, software, and service businesses that convert through conversation.
This single-sided referral form template routes leads directly into your referral program, every submission tracked and rewarded automatically.
What is a Referral Contact Form?
A Referral Contact Form allows advocates or partners to share referrals by submitting their contact information , perfect for industries where every lead deserves a personal touch.
Collect details like:
Genius Referrals tracks every submission automatically and triggers rewards once the referral converts.
Collect details like:
- Name, email, company, and notes
- Referral reason or service type
Genius Referrals tracks every submission automatically and triggers rewards once the referral converts.
How It Works
All tracked in your Genius Referrals dashboard
Share
Advocates share their unique referral link or QR code.
Submit
Referrals submit their details through your contact form.
Follow Up
Your team follows up personally or your system sends an offer.
Reward
Rewards are issued automatically via Wise, PayPal, gift cards, or your preferred incentives.
Why Choose Genius Referrals
With Genius Referrals, you can design, brand, and automate every part of your referral form without code.
- Branded referral forms that match your website
- Automated advocate and referral rewards
- CRM and marketing integrations (HubSpot, Salesforce, Zoho, etc.)
- Analytics and performance dashboards
- Multi-language & multi-currency ready
Browse Other Referral Template Categories
Looking for more? Explore our other templates designed to meet your specific needs:
Explore All Templates 
Turn Every Interaction into a Referral Opportunity
Capture referrals effortlessly with customizable forms and landing pages. Ideal for businesses that want to maximize every touchpoint and convert leads into loyal customers.
Empower Your Advocates with a Central Hub
Give your advocates a dedicated space to track referrals, rewards, and performance. Perfect for businesses looking to create a seamless and engaging experience for their top promoters.
Explore Advocate Portal Templates 
Seamless Integration, Maximum Impact
Add referral widgets to your website, emails, or app for easy sharing and tracking. Perfect for businesses that want to make referral marketing a natural part of the customer journey.
Explore Widgets Templates 
Leverage the Power of Happy Customers
Engage customers right after a purchase with referral prompts and rewards. Ideal for e-commerce and subscription-based businesses looking to turn satisfied customers into brand advocates.
Explore Post-Purchase Templates Frequently Asked Questions
Each advocate gets a unique referral link that leads directly to your contact form. When a referral submits their details, Genius Referrals automatically attributes that lead to the advocate, no spreadsheets or manual matching required. You can see every referral and conversion inside your Genius Referrals dashboard.
Advocates can log into your Advocate Portal to copy their personal referral link or QR code. You can also surface the link in post-purchase widgets, emails, or in-app messages so it’s always easy to share.
Referral links are generated automatically when an advocate joins your program. In Genius Referrals, you don’t need to create links manually, each advocate gets a unique link you can display in the portal, emails, or on your website.
If you prefer codes, Genius Referrals can generate unique referral codes for each advocate. They can share these codes in conversations, emails, or offline. When a referral submits the contact form or completes a purchase using that code, the system ties the referral back to the correct advocate.
Referrals are tracked using a combination of unique links, cookies, and IDs:
- The advocate’s ID is embedded in the referral link.
- When the referral lands on your page, the ID is stored.
- When they submit the form, Genius Referrals saves the relationship and starts the attribution window you define (e.g., 30/60/90 days).
Yes. You can connect the form to CRMs like HubSpot, Salesforce, or Zoho, and to marketing tools through Zapier or native integrations. Leads flow directly into your system so your team can follow up and track conversions in one place.
Absolutely. You can add or remove fields (company, phone, notes, service type, etc.), adjust labels, and fully match your brand’s fonts, colors, and layout. Everything stays on-brand without any coding.
You decide when rewards should be issued — for example, when a referral schedules a meeting, signs a contract, or becomes a paying customer. Once you mark the referral as converted, Genius Referrals automatically sends the reward via Wise, PayPal, Tango Card, or your chosen method.
Yes. You can duplicate this template and connect each version to a different program, product, or team. Each form can have its own rules, incentives, and CRM routing while still using the same core referral-tracking engine.
Start Collecting Qualified Leads Today.
Build your Referral Contact Form in minutes — no coding required.