Lumed Referral Program

To receive a 50% off coupon for your next LEAP purchase just complete the form below.  We will email you a coupon for 50% off and a special thank you (a free LEAP!) to the friend who referred you . 

Referred by
Name of Referral *
Name of Referral
Please enter the name of the person who referred you.
Your Information
Your Name *
Your Name
Please enter your name for our records

Thank you for participating in our referral program!