Refer a Friend or Relative

You're now experiencing the advantages of a whole new world of sound with Amplifon. But what about your friends or relatives? If you know of anyone who may need our help, here's your opportunity to share the benefits of better hearing.

Simply complete the form below and you'll receive up to $75 for each person you recommend*.

By completing your friend's details you are confirming that you have obtained consent for Amplifon to contact them.

Get rewarded when you share the benefits

Use the form below to refer a friend. One of our representatives will get back to you after your submission.

My information

First name: *

Surname *

Phone: *

Email *

I have recommended Amplifon to the person mentioned below, who wishes to receive further details of your service.

My friend's information

First name: *

Last name: *

Phone: *

E-mail: *

Address:

City:

Province:

Postal code:

I have recommended Amplifon to the person mentioned above, who wishes to receive further details of your service.

Fields with a * are mandatory.

Accept terms and privacy.

I agree to be contacted by Email.

Send referral

Thank you for submitting your request.

We will get in touch with you as soon as possible.

* Earn a $25 Shopper's Drug Mart gift card when they complete a hearing test. Earn an additional $50 Shopper's Drug Mart gift card if they purchase a pair of hearing aids.

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