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Refer your friends and family to sign up for insurance service and earn a referral reward.

Here are 3 easy steps to collect your referral rewards:

  1. List the names and addresses of friends and associates who may be interested in Allsafe Insurance products / services on the form below.

  2. Once we've received the form, we'll contact your referrals, send them product information and offer them our services.

  3. After your referral has been an active client, you'll receive a referral reward.

Your Information: Fields marked with an asterisk * are required

Your First Name: *

 Your Email Address: *

Your Last Name: *

Your Phone Number: *

     Your Address: *

Please check if you would prefer we did not mention
your name to your referrals:

Refer a Friend: Fields marked with an asterisk * are required

Refer as many friends and family as you want in order to earn free cash! Start spreading the word today!
Please type the names, complete addresses, email addresses (if applicable) and phone numbers of the friends and associates you wish to refer:

Referral First Name: *

 Referral Email Address: *

Referral Last Name: *

Referral Phone Number: *

     Referral Address: *

Type: *


The Refer-A-Friend program is intended for use by Allsafe Insurance customers to refer family and friends.
By referring individuals, you are agreeing to the conditions outlined below:

Referral must be initiated online prior to new customer's acquisition of policy. Writing of new business must occur within thirty (30) days of the online referral. After thirty (30) days, the referral is no longer valid for this promotion. Both you and the referred friend must be a paying Allsafe Insurance customer in good standing for thirty (30) days before referral reward checks are issued. Checks are mailed to the address on file for the referrer and Allsafe Insurance will not replace or reimburse any lost cards due to incorrect contact information or efficiency of the delivery system. Referrer is allowed only one referral reward check per qualified referred individual. The terms of this program may be changed at any time without notice. Employees of Allsafe Insurance and their immediate family members living in same household of each are not eligible. Other restrictions may apply. You can be awarded referral reward only once for each new client you've referred. Current clients who are swapping, upgrading or downgrading to another Allsafe Insurance product are not eligible for referral rewards. No self-referrals are possible, and no cash payments will be made. Referral rewards are not transferable. By submitting this form you agree to this website’s Privacy Policy and User Agreement

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