Referral Form

Refer a friend to Leicht Insurance, Inc.

We love referrals! The greatest testament that our customers can provide is by referring their friends and family to Leicht Insurance, Inc.. Thank you for your referral, and we thank you even more for your continued business.

Your Information

First Name*

Last Name*

Your Email Address*

Your Phone Number*

Your Friend's Information

Friend's First Name*

Friend's Last Name*

Your Friend's Email Address*

Your Friend's Phone Number*

Special Comments*

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Mission Statement

We make finding affordable insurance easy. We shop the market
for the provider with the lowest price to fit your needs. Do you
know if you are saving the maximum amount possible on your
current insurance policy? We can review it for you to find out.

619 E Main St
Logansport, IN 46947

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