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Referral Form

Refer a friend to Heritage Insurance LTD

Join our Client Referral Program!


iPad
Win 1 of 4
TVs or 8 iPads!
Refer Someone Now!
Referral Winner

Our Latest Referral Winner:



Garry Setrum - iPad Air 2

For each friend, family member, associate or client you send to Heritage Insurance Ltd for a quote on their auto, home, commercial or farm insurance needs, we will automatically enter your name into our Client Referral Contest. You will have a chance to win 1 of 4 New 50” LED TVs or 8 iPads in our monthly draw AND a $5 Gift Card to Tim Hortons.
 
ArrowAsk your Friends to call our office and mention your name to receive their
FREE, NO HASSLE, NO-OBLIGATION, GREAT RATES comparison quote.


For each referral, you will receive a $5 Gift Card to Tim Hortons.

No matter how busy we are at Heritage, we ALWAYS reserve time to accommodate NEW clients referred to us. And we know that you put a little of yourself “on the line” whenever you recommend us to a friend, family member, associate or client, and we take that responsibility very seriously.

Our entire Team will do everything possible to earn your trust and confidence in our brokerage.

Thanking you in advance for taking the time to review the qualifications to become one of our Referral Club Members.

Your Information
First Name
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Last Name
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Your E-Mail Address
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Your Phone Number
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Your Friend's Information
Friend's First Name
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Friend's Last Name
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Your Friend's E-Mail Address
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Your Friend's Phone Number
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Special Comments
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Heritage Insurance Ltd Office
Heritage Insurance, Ltd.
100A Fairford Street West
Moose Jaw, SK S6H 1V3

Office Hours:
Mon - Fri 8:30AM - 6:00PM
Sat 9:00AM - 4:00PM


Phone: (306) 693-7640
Toll Free: (800) 667-7640



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