Referral

WE WANT YOU TO WIN! Barton Insurance is now giving away prizes and there is no purchase necessary! We are asking for your help. In today's world it's hard to reach good people like yourself. Simply referring us to a friend or family member, which we may contact about their insurance, makes you eligible to win one of our prizes. We will post the winners on this site so please fill out this referral page and leave us your information for your chance to win a prize. The more referrals you send the more times you are entered to win. Please feel free enter as often and as many times as you like.

Referral #1
Referral NameReferral Phone#
Referral Email
Referral #2
Referral NameReferral Phone#
Referral Email
Referral #3
Referral NameReferral Phone#
Referral Email
Your Information
Your Name
Email
Phone#