Get your chance to win a TV!
 Didn’t get that big screen TV you were hoping for this Christmas?  
Get your chance to win one with The Flemke Agency!
Simply refer a friend... or friends!  
We always offer FREE quotes on insurance and are saving our customers, on average, over $600!.  Give your friends something they will love - an opportunity to have a fresh quote on insurance!    

Refer 1 friend - have your name entered in the drawing once!
Refer 5 friends - have your name entered in the drawing 10 times - yep, we'll double it!

Help us help you, your friends and family!  

No purchase necessary. TV Shown below. The winner will need to pick the TV up at the Flemke Agency.  
Offer expires January 28, 2021   Winner announced by Flemke Agency on February 1, 2021. Vizio is not affiliated with this promotion. This promotion is in no way sponsored, endorsed or administered by, or associated with, Facebook. You are providing your information to the Flemke Agency and not to Facebook.

Scroll down to see how you can be entered to win!
First, list YOUR name below so you can be entered in the drawing.  Please include a phone number. *
What friends would you like to refer?   Please fill out the information below.  
Name of Referral  (First and Last Name Required) *
Phone Number of Referral (Area Code and Number) *
Name & Phone Number of 2nd Referral
Name & Phone Number of 3rd Referral
Name & Phone Number of 4th Referral
Name & Phone Number of 5th Referral
Here's a little more about why you should refer your friends!
Thank you!  Flemke Agency - 210 W Main Street Owatonna, MN 55060 Contact: benf@fuainsurance.com   507-413-6116
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms