Refer A Friend We count ourselves very fortunate to have incredible clients like you and we’d like to have even more! Introducing our ‘Give $100 Get $100’ Referral Reward Program How does it work? -Refer your friends, family, co-workers, etc. -Have them complete a quote -Make sure they mention your name What do you earn? -A $15 Gift card to Dunkin’ Donuts -An entry into our monthly Give $100 Get $100 drawing No limit in the amount of entries and No purchase necessary How does it work? Refer us to family or friends, etc. and for every person that calls for a quote, referred by you, your name gets entered in a monthly drawing $100 for you and $100 for a charity of your choice What is a qualified referral? A qualified referral is an individual or business that is new to our agency. The individual or business DOES NOT have to buy a policy from us, but they must obtain a complete quote through our agency. *Contest runs 6/1/17 to 12/31/17 Client Referral Form Step 1 of 3 - Your Contact Info 33% Your Name (customer)* First Last Who are you referring to us?* First Last Their Phone Number*Their Email Do you know what they need a quote for?* Home / Condo / Renters Auto Life and/or Health Business Motorcycle / ATV Boat & Watercraft Select all that apply Comments or Questions?