Referral Form

Refer a friend to The Benefits Resource, Inc.

We love referrals! The greatest testament that our customers can provide is by referring their friends and family to The Benefits Resource, 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*

Submission Validation

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4411 Bee Ridge Rd, # 486 | Sarasota, FL 34233

Medicare Notice: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all your options.