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Referral Form

Refer a friend to Heil and Kay Insurance Agency Inc.

At Heil & Kay Insurance, “We Build Relationships”, and we’ve grown our agency by taking special care of our clients and it shows in the large number of people who call us because our clients recommend us. Naturally, we want to grow—but only with the right kind of clients. Clients like you!
 
Tell a friend, a colleague, a relative…or whomever about Heil & Kay Insurance and receive a chance to win thousands and a get entered for a chance of winning even more.

When they contact us and say you sent them, (don’t worry, we ask why they call) we’ll send you an Illinois Lottery ticket. We will also enter you into a monthly drawing for a $50 gift certificate to Lettuce Entertain You. Finally we will enter you into our annual drawing and a chance at winning a 50” flat screen HD television, just in time for the BIG GAME.

As a full service agency, we provide top-notch services and expertise to our clients.

Send us referrals for….

Business Insurance
Workers Compensation
Commercial Auto
Property Insurance
Employee Benefits
Life/Health Insurance
Retirement Planning
Home Owners
Personal Auto

Referral Program Rules: There is no limit on the number of chances you can create for yourself. Odds of winning are entirely dependent on the quantity of qualified chances created during the contest period. This contest and the rewards provided are open to anyone who refers a prospective client to our agency. You do NOT have to be a client to receive your free lottery ticket or to be entered for a chance to win any of the randomly drawn prizes. You do not need to be present at the drawings to win prizes. The people referred to our agency do NOT have to become our client for the referring party to receive any of the rewards and/or chances in this program.

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Your Phone Number
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Your Friend's Information
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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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