Fields with (*) are required.
Your First Name*
Your Last Name*
Your Street Address*
Your City ST, Zip*
Your Phone Number*
Your Email Address*
Referral's Full Name*
Referral's Phone Number*
What type of insurance is this referral interested in?*
Referer Type: I am a:*

TERMS AND CONDITIONS OF USE By participating in the Referral Rewards (the "Bonus"), you acknowledge that you have read, understood, and agree to be bound by these Terms and Conditions. 1. Eligibility. This Bonus is open only to any US resident and on the following terms and conditions. 2. Persons Who May Be Referred. Any resident or property owner within the state of TX, with whom you have a pre-existing personal or business relationship and who you believe would like to receive a free insurance quote (a "Friend"). Without limiting the generality of the foregoing, you must not obtain names for referral from anyone not described above. You must not submit yourself for this referral bonus. The referral may only be submitted one (1) time. 3. No “fake” referrals. Referral is not valid if: A. Contact information is erroneous. B. We are unable to contact the referral. C. The referral is not willing to give basic information for us to provide a quote. D. The referral has not been advised/made aware that we will contact them to give them a free quote. 4. Number of Referral Bonuses. For a limited time, there are no restrictions on the number of referral bonuses you may earn. 5. Referral Reward Credited to You. For each of your Friends that you refer to Quote Texas Insurance who satisfies the bonus requirements, we will mail a $10 gift card of your choice (or such other amount that we determine in our sole discretion from time to time, as published in this Terms and Conditions) to your address.. A Friend will only be deemed to have been referred for the purposes of these Terms and Conditions if: • They are not a Quote Texas Insurance Customer at the time of the Referral. • They satisfy the bonus requirements in effect at the time they complete the Bonus qualification process: 1. Speak to a Quote Texas Insurance Representative. 2. Provide basic information to receive a free quote. 6. Remedies for Your Noncompliance. If Quote Texas Insurance determines in its sole discretion that you have not complied with these Terms and Conditions, it may, in addition to any other rights and remedies it may have against you, immediately and without notice to you, withdraw all benefits to you and your Friends under this Bonus (including, without limitation, by canceling or declining to credit any and all Referral rewards issued or to be issued to you and to any of your Friends in connection with this Bonus). 7. Your Consent to Use Your Data in E-Mails. You grant to Quote Texas Insurance your consent for it to use your name and email address for the purposes of sending email to your Friends for Bonus processing. You agree not to use any false email addresses or names for this Bonus. 8. Your Representations and Warranties to Us. You represent and warrant to Quote Texas Insurance that you have an existing business or personal relationship with each Friend and that it is your genuine opinion that each Friend would wish to receive a free quote from Quote Texas Insurance. By providing us with contact information of your Friends for transaction purposes, you are affirmatively requesting and authorizing Quote Texas Insurance to contact them, as outlined herein, on your behalf. 9. Bonus Period. Quote Texas Insurance reserves the right to discontinue the Bonus for any reason, at any time and for any duration at its sole discretion, and without notice. 10. Limitation of Liability for Quote Texas Insurance. TO THE FULLEST EXTENT PERMITTED AT LAW, NEITHER QUOTE TEXAS INSURANCE NOR ANY OF ITS AFFILIATES, DIRECTORS, OFFICERS, EMPLOYEES, OR OTHER REPRESENTATIVES WILL BE LIABLE FOR DAMAGES ARISING OUT OF OR IN CONNECTION WITH THIS OFFER. THIS IS A COMPREHENSIVE LIMITATION OF LIABILITY THAT APPLIES TO ALL DAMAGES OF ANY KIND, INCLUDING (WITHOUT LIMITATION) COMPENSATORY, DIRECT, INDIRECT, OR CONSEQUENTIAL DAMAGES; LOSS OF DATA, INCOME, OR PROFIT; LOSS OF OR DAMAGE TO PROPERTY; AND CLAIMS OF THIRD PARTIES. 11. Entire Agreement. These Terms and Conditions represent the entire agreement between you and Quote Texas Insurance with respect to the Bonus. 12. Variation of the Terms and Conditions. These Terms and Conditions may be amended or modified by Quote Texas Insurance in its sole discretion at any time and these amendments and modifications will apply to you when you use the Quote Texas Insurance service. Any such amendments will be posted to this page, and it is your responsibility to review this page from time to time for such amendments. 13. Currency. All amounts stated in these Terms and Conditions are in U.S. dollars. 14. Severance. If any provision of these Terms and Conditions is held to be invalid, such invalidity will not affect the remaining provisions. 15. Governing Law. These Terms and Conditions will be interpreted, construed, and governed in all respects in accordance with the laws of the States of Texas, and/or California, without giving effect to its principles of conflicts of laws. You hereby irrevocably consent and submit to the exclusive personal jurisdiction of the state and federal courts in Fort Worth, Texas for the purposes of litigating any such action.