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Referral Form


We consider it the highest compliment when our clients refer their friends and family. 
For your efforts in spreading the word about our quality service and competitive prices, we will send you a $25 gift certificate for every qualified prospective client you refer to us.
Read more about our referral program rules here.


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Your Friend's Information
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Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.
  

 
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Boldt Risk Management Solutions

            4929 Wilshire Blvd, Suite 700
Los Angeles, CA 90010
Phone: (323) 571-0127
CA License#: 0F41800
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