Referral Form

Refer a friend to Kensington Insurance, Ltd.

We love referrals! The greatest testament that our customers can provide is by referring their friends and family to Kensington Insurance, Ltd.

We want to Thank You for the referral!

    Your choice of our Grocery Tote Bag
          or a Dunkin' Donuts Gift Card!
                     You decide!!

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*

Submission Validation

925 Farmington Ave
Kensington, CT 06037

Office: 860-828-6525
Fax: 860-828-5011