Are you happy with LakePharma's services?

Want to share your excitement with a colleague/friend? And have a pizza lunch on us (or an Amazon gift card)?

Join LakePharma's Customer Referral Program.

Fill out the simple form below and we will take care of the rest. Both your colleague and you will receive a reward upon first order by the newly referred client.

Referrer Information:

  • First Name: *

  • Last Name: *

  • Organization: *

  • Email:*

Referred Client Information:

  • First Name: *

  • Last Name: *

  • Organization: *

  • Email:*

  • City: *

  • State: *

Thank you for the referral. We will send you and the referred client an email confirmation right away.
Have a good day!