Gas Card Giveaway

Earn a $25 gas gift card when you receive an insurance quote or refer a friend or family member for a quote.

Tom Berger

(605) 348-3470

Tom.Berger@fbfs.com

Are you currently a Farm Bureau Financial Services client?*

Yes, I am a client/member.

No, I am not yet a client/member.

First Name *

Last Name *

Street Address 1 *

Street Address 2

City *

State *

Zip Code*

Email Address *

Phone Number *

Date of Birth*

Are you interested in a quote or are you sending a friend of family member to us for a quote?*

If sending a referral, please enter the first and last name of best person to contact, along with their phone number.*

Have you sat down with your current agent in the last 12 months? (Y or N)*

Phone number must be a working number.
Limit of 4 gift cards per person.
Gift card(s) will be sent once promotion is over. (Promotion ends July 17, 2026.)

By checking this box, you consent to receive communications from Farm Bureau Financial Services or be contacted by someone from the organization. You may opt out at any time by unsubscribing to our emails. No purchase, quote or appointment necessary to enter. One entry per person. Must be 18 years or older to qualify and reside in AZ, IA, KS, MN, NE, NM, SD or UT. Winner(s) will be selected in a random drawing from among all eligible entries by judges selected by Sponsor(s), whose decisions are final and binding in all matters relating to this Drawing. Only one Winner per household is permitted.