Office Number: 216-478-9068

The greatest compliment you can give is a referral.

Rink Insurance Solutions works hard to provide clients with insurance that fits their needs through an experience that is enjoyable. Referring your friend, family, or client truly is the greatest compliment you can give and we would be extremely grateful.

Please take a minute to complete the referral form below.

Your Full Name

Your Phone Number

Relationship to Rink Insurance Solutions

Thank you for trusting us with your client. Please provide the following information so we can properly track and credit your referral.

Organization

Your Email *

Who are you referring to us?

First Name

Last Name

Phone Number *

Type of Insurance *

If your referral consents to being contacted, please check the box below. Otherwise, proceed forward and we will track the referral once they contact us.

Consent

I (referral) consent to be contacted by phone and/or email by a licensed insurance agent about Medicare Advantage plans, Medicare Part D Prescription Drug plans, and/or Medicare Supplement insurance. This is considered a solicitation for insurance.

Are there any additonal comments or information you would like to provide? If not, just hit the submit button to send your referral. Thanks!

Comments:

216-478-9068 |3558 Lee Road. Shaker Heights, OH 44120 | 8775 E Market St. Warren, OH 44484

Rink Insurance Solutions is an independent insurance brokerage licensed in Ohio & Pennsylvania for life & health, and is specialized in Medicare. Rink Insurance Solutions is not affiliated with any government agency. Our services are at no-cost or obligation to the client. Medicare Disclaimer: 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.go or 1–800–MEDICARE to get information on all of your options. By submitting your information you acknowledge that an insurance agent with Rink Insurance Solutions may contact you by phone, SMS, email, or mail to discuss and quote Medicare Advantage plans, Medicare Supplement Insurance, or Prescription Drug Plans. To Unsubscribe from messaging reply STOP.

216-478-9068

3558 Lee Road. Shaker Heights, OH 44120

8775 E Market St. Warren, OH 44484

Rink Insurance Solutions is an independent insurance brokerage licensed in Ohio & Pennsylvania for life & health, and is specialized in Medicare. Rink Insurance Solutions is not affiliated with any government agency. Our services are at no-cost or obligation to the client. Medicare Disclaimer: 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.go or 1–800–MEDICARE to get information on all of your options.