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Referral Form

Refer a friend to Cornerstone Insurance Agency

The greatest testament that our customers can provide is by referring their friends and family to us.

Client Referral Rewards Program

Our goal here at Cornerstone Insurance Agency is to keep you 101% satisfied with us.  If our service, products or pricing has been better than what you have found at other agencies, it would mean so much to us if you would share that experience with some of your friends and family.

As our way of saying "Thank You" for your referrals, you will receive a FREE $5.00 Gift Card everytime you refer someone for a quote, whether they purchase any insurance through us or not.  Considering our current economy, this could really be handy!

A
lso, for each referral, your name will be entered into our quarterly drawing where you could win a Flat Screen TV, Blue Ray Player, or other comparable item (up to a $250.00 value).

Thanks so much for doing business with us.  We appreciate you!

Last Quarter's winner:  Maren Harding

Your Information
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Your Friend's Information
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Your Friend's Phone Number
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