REMAX Results Golf Giveaway

a { text-decoration: none; color: #464feb; } tr th, tr td { border: 1px solid #e6e6e6; } tr th { background-color: #f5f5f5; } I'm doing a special giveaway for those attending the REMAX Results golf outing. Fill out the questions below to be entered into a drawing for a $25 Visa gift card.

Tyler Langel

(402) 339-6348

Tyler.Langel@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*

What professional are you in? (Real Estate, Lending, Title/Closing, or None)*

Would you be open to having me review your current home and/or auto insurance to see how your coverage and rates compare? (Yes, Maybe, or No Thanks)*

Would having a trusted insurance contact you can refer clients to be valuable to your business? (Yes, Possibly, or I already have someone.)*

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.