By submitting this Referral Form, you represent and affirm that (1) the information provided is true and accurate and not intended to mislead or defraud; (2) if you are submitting this Referral Form on behalf of a business entity, you have the authority to represent that business; (3) you have the permission of the Prospective Referral to submit the name, email address and telephone number of the contact provided; and (4) you agree to all of the terms and conditions of the DRINKS Partner Program Agreement and the DRINKS Privacy Policy.