Know someone who would be interested in our services? Use our submission form below to refer a friend, family member, neighbor, or co-worker to Stoskel Insurance Associates. For each referral, you will get the choice between a $10 gift card or a $15 donation to The Marine Corps League in Washington County, which will buy a wreath in support of Wreaths Across America.

*Don’t worry, we value your privacy! We will only use the information submitted to contact those for an insurance quote.

Referral Form

Your Name

Your Email Address

Your Phone Number

Reward Choice Reward Choice $10 Gift Card $15 Donation towards a wreath

How many people would you like to refer?

Friend #1 (Name, Phone Number, and Email Address)

Friend #2 (Name, Phone Number, and Email Address)

Friend #3 (Name, Phone Number, and Email Address)

Friend #4 (Name, Phone Number, and Email Address)

Friend #5 (Name, Phone Number, and Email Address)

Friend #6 (Name, Phone Number, and Email Address)

Friend #7 (Name, Phone Number, and Email Address)

Friend #8 (Name, Phone Number, and Email Address)

Any notes or questions?

3 + 13 =

*Please note, submissions must include a Full Name, Phone Number, and Email Address to be eligible for the reward. If you have more than 8 referrals, feel free to submit multiple forms.

Questions? Shoot us an email at info@stoskel.com.

Thank you for your business!

Refer a Friend

Referral Form