Refer a non-PRCUA member and earn up to $25 in gift cards for every life insurance referral that is approved and issued.
Earn a $25 gift card for every life insurance certificate issued at $25,000 and up
Earn a $10 gift card for every life insurance certificate issued at $10,000 -$24,999
A valid referral meets the following requirements:
- All necessary contact information has been accurately filled out on the form.
- Referral must be for a new PRCUA member.
- The prospective member’s Life Insurance certificate must be approved and issued.
*Restrictions apply. Program subject to change without notice. PRCUA employees, directors and sales agents are not eligible to participate in the member referral program.
If you have any additional questions about the PRCUA Referral Program, contact the PRCUA Sales Department directly at (800) 772-8632 ext. 2755 or email sales@prcua.org
You can also download the form and mail it to:
PRCUA Sales Department
984 N Milwaukee Ave.
Chicago, Illinois 60642
Submission Form
All fields from the form below must be completed to be eligible for the PRCUA Referral Program. The first half of the form is the information of the current PRCUA member, and second half of the form is designated for the Prospective PRCUA member’s contact information.
Note: If you have more than one referral, please resubmit the form again for each referral.
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