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3920 Old Hwy 94 S, Suite 39
St. Charles, MO 63304-2835

Referral Program

Lang Insurance

We Love Referrals!

Refer a Friend, Family Member, Neighbor or Co-worker to Lang Insurance to receive a $25 Gift Card!

One $25.00 card per referral once their insurance policy becomes effective. Not required to be a current Lang Insurance policy holder to participate in Lang Insurance Referral Program.

Simply complete the form below.

$25.00 Price Tag

Your Information

Referral Information

Anything Else?

Binding Agreement

Will be sent securely

We respect your privacy. Your information will be sent securely and handled with care. View our privacy policy.

Note: leave the Subject field blank if you are a real person. If this field is filled in, your request will be ignored. This helps us protect against automated form posts (spam).