Mikel Long Insurance

"Large enough to serve you, yet small enough to care"

Referral Contest

We at Mikel Long Insurance would like to thank you for giving us the opportunity to provide you with your insurance needs.  As you know, our business is based on referrals. If you have family members or friends that you feel could benefit from the same services we have provided you, please jot down their information on this page and return to us by fax, mail or email.  We will contact each referral you provide us with, and make sure they receive the same superior service we have provided you. Thank you for your business and your continued support.


1.       NAME: __________________________ PHONE#: _______________________

 

2.       NAME: __________________________ PHONE#: _______________________

 

3.       NAME: __________________________ PHONE#: _______________________

 

4.       NAME: __________________________ PHONE#: _______________________

 

5.       NAME: __________________________ PHONE#: _______________________

 

6.       NAME: __________________________ PHONE#: _______________________

 

7.       NAME: __________________________ PHONE#: _______________________

 

8.       NAME: __________________________ PHONE#: _______________________

 

9.       NAME: __________________________ PHONE#: _______________________

 

10.     NAME: __________________________ PHONE#: _______________________



FOR EVERY 5 REFERRALS YOU GIVE YOUR NAME GOES IN A WEEKLY DRAWING FOR A $20 VISA GIFT CARD DURING THE MONTH OF JULY. WINNERS WILL BE ANNOUNCED MONDAYS ON THE SIG/MIKEL LONG INSURANCE FACEBOOK PAGE! (FOR THOSE NOT ON FACEBOOK DON’T WORRY, WE WILL CALL YOU!) BE SURE TO “LIKE” US ON FACEBOOK TO STAY UPDATED! REMEMBER YOUR NAME IS ENTERED FOR EVERY 5 REFERRALS SUBMITTED SO GIVE AS MANY AS YOU CAN!

WAYS TO SUBMIT YOUR REFERRALS:


FAX:    (903) 757-8418

EMAIL:MIKEL.LONG@SIG4YOU.COM

MAIL:   618 N. HIGH STREET SUITE 4-LONGVIEW, TX 75601         

OFFICE: (903) 757-8676